Active NPI
Laurie Rebeck Levin, LCSW
- Clinical Social Worker
- Gaithersburg, MD
National Provider Identifier
1821176165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MD05174
- Practice address
- 9053 Shady Grove CT
Gaithersburg, MD 20877 - Phone
- (301) 977-2957
- Fax
- (301) 540-5216
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MD05174 | MD | Primary |
Addresses
Primary practice location
9053 Shady Grove CT
Gaithersburg, MD 20877
Mailing address
9053 Shady Grove CT
Gaithersburg, MD 20877
Phone (301) 977-2957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070801000337 | DC | Practitioner - Clinical Social Worker | 7315038668 | Practice locations: Gaithersburg, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
504 Kersten St
Gaithersburg, MD 20878-6512
Phone (301) 512-3437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD05174 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1821176165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9053 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "20877",
"telephone_number": "301-977-2957",
"fax_number": "301-540-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9053 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "20877",
"telephone_number": "301-977-2957",
"fax_number": "301-540-5216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBECK LEVIN",
"first_name": "LAURIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "MD05174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.