Active NPI
Kenneth Michael Levine, LCSW
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1851524300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004409
- Practice address
- 1502 W NC Highway 54
Suite 505
Durham, NC 27707-5571 - Phone
- (919) 475-3068
- NPI assigned
- Sep 1, 2009
- Last updated
- Sep 1, 2009
- Sex
- Male
- 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 | C004409 | NC | Primary |
Addresses
Primary practice location
1502 W NC Highway 54
Suite 505
Durham, NC 27707-5571
Mailing address
1502 W NC Highway 54
Suite 505
Durham, NC 27707-5571
Phone (919) 475-3068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 10, 2025 through Jul 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004409 | NC | MD | Clinical Social Worker |
| 4409 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1851524300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 W NC HIGHWAY 54",
"address_2": "SUITE 505",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075571",
"telephone_number": "919-475-3068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 W NC HIGHWAY 54",
"address_2": "SUITE 505",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075571",
"telephone_number": "919-475-3068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "KENNETH",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-01",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.