Individual provider Active NPI

Avital Levin, LCSW

  • Clinical Social Worker
  • Princeton, NJ
National Provider Identifier
1891914479
Registry record updated Dec 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05315800 Issued in NJ
Practice address
177 Meadowbrook Dr
Princeton, NJ 08648-3639
Phone
(609) 924-3615
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 44SC05315800 NJ
Clinical Social Worker 1041C0700X 44SC05315800 NJ Primary

Addresses

Primary practice location

177 Meadowbrook Dr
Princeton, NJ 08648-3639

Mailing address

177 Meadowbrook Dr
Princeton, NJ 08648-3639
Phone (609) 924-3615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090527000314 NJ Practitioner - Clinical Social Worker 8729137575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

177 Meadowbrook Dr
Princeton, NJ 08540-3664
Phone (609) 924-3615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05315800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talilevinllc CurrentSince Nov 27, 2018 Accepting new patients
Jewish Family & Children'S Service of Greater Mercer County Clinical PastSince Sep 1, 1998 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545609600000",
    "number": "1891914479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 MEADOWBROOK DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "086483639",
            "telephone_number": "609-924-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MEADOWBROOK DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "086483639",
            "telephone_number": "609-924-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "AVITAL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2018-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "44SC05315800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05315800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.