Active NPI
Sharon J. Levin, MSW
- Clinical Social Worker
- Los Altos, CA
National Provider Identifier
1962925867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6143
- Practice address
- 900 N San Antonio Rd Ste 201
Los Altos, CA 94022-1307 - Phone
- (650) 949-1764
- Fax
- (650) 949-3776
- NPI assigned
- Jul 23, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 6143 | CA | |
| Clinical Social Worker | 1041C0700X | 6143 | CA | Primary |
Addresses
Primary practice location
900 N San Antonio Rd Ste 201
Los Altos, CA 94022-1307
Mailing address
900 N San Antonio Rd Ste 201
Los Altos, CA 94022-1307
Phone (650) 949-1764
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 12, 2021 through Jul 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6143 | CA | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962925867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N SAN ANTONIO RD STE 201",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221307",
"telephone_number": "650-949-1764",
"fax_number": "650-949-3776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N SAN ANTONIO RD STE 201",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221307",
"telephone_number": "650-949-1764",
"fax_number": "650-949-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "SHARON",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "6143",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "6143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.