Organization Active NPI

Jeffrey Levy, LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1902377401
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JEFFREY LEVY, LCSW, LLC
Practice address
4507 N Ravenswood Ave Ste 104
Chicago, IL 60640-5218
Phone
(773) 490-2772
NPI assigned
Dec 9, 2018
Last updated
Jan 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Jeffrey Robert Levy, LCSWNPI 1720118441
Title
Owner
Phone
(773) 490-2772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4507 N Ravenswood Ave Ste 104
Chicago, IL 60640-5218

Mailing address

4507 N Ravenswood Ave Ste 104
Chicago, IL 60640-5218
Phone (773) 490-2772

National Provider Directory

National Provider Directory

Locations

4507 N Ravenswood Ave
Ste 104
Chicago, IL 60640
Phone (773) 490-2772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1902377401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 N RAVENSWOOD AVE STE 104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405218",
            "telephone_number": "773-490-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 N RAVENSWOOD AVE STE 104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405218",
            "telephone_number": "773-490-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY LEVY, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-09",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-490-2772",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.