Level Up Community Service Program LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LEVEL UP COMMUNITY SERVICE PROGRAM LLC

Practice address

6754 Grey Rock Way
Lithonia, GA 30058-3077

Phone

(678) 849-0505

NPI assigned

Jul 6, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Deborah E Sills, PHD LCSWNPI 1770628497

Title

Executive Director

Phone

(678) 849-0505

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Elaine Sills, PH.D, LCSW

  • Clinical Social Worker
  • Decatur, GA
  • NPI 1770628497
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1871226977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300580784",
            "telephone_number": "678-849-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6754 GREY ROCK WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583077",
            "telephone_number": "678-849-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL UP COMMUNITY SERVICE PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-849-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2014",
            "identifier": "2014",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "administrative@levelupcsp.org",
            "affiliation": "N",
            "endpointDescription": "administrative@levelupcsp.org",
            "address_1": "6754 Grey Rock Way",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300583077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Lera Erica Less, LPC
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• Amy M. Levine, MD
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• Manios Liberal
• Anesa I Liburd, RBT

• Clinical Social Worker in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.