Individual provider Active NPI

Kevin Levi

  • Social Worker
  • Port Angeles, WA
National Provider Identifier
1972004646
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW61395239 Issued in WA
Practice address
204 W 4TH St Apt 11
Port Angeles, WA 98362-2835
Phone
(703) 470-3479
Fax
(888) 234-5190
NPI assigned
Feb 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X A4865 OR
Clinical Social Worker 1041C0700X LW61395239 WA
Social Worker 104100000X LW61395239 WA Primary

Addresses

Primary practice location

204 W 4TH St Apt 11
Port Angeles, WA 98362-2835

Mailing address

204 W 4TH St Apt 11
Port Angeles, WA 98362-2835
Phone (703) 470-3479

Other practice location 1

933 E 1st St
Port Angeles, WA 98362-4012
Phone (360) 452-7891

Other practice location 2

240 W Front St
Port Angeles, WA 98362-2609
Phone (360) 452-7891

Other practice location 3

1026 E 1st St
Port Angeles, WA 98362-4020
Phone (360) 452-7891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230608000654 WA Practitioner - Clinical Social Worker 2961831334 Reassigns benefits to 1 organization
Practice locations: Port Angeles, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Port Angeles, WA 98362
Phone (703) 470-3479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A4865ORMDSocial Worker
LW61395239WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Olympic Healthcare Network CurrentSince May 1, 2023 Accepting new patients
North Olympic Healthcare Network CurrentSince May 1, 2023 Accepting new patients
Levi Therapy CurrentSince Mar 3, 2025 Accepting new patients
North Olympic Healthcare Network Current Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

933 E 1st St
Port Angeles, WA 98362
Phone (360) 452-4432

240 W Front St
Port Angeles, WA 98362
Phone (360) 452-7891

240 W Front St
Ste A
Port Angeles, WA 98362
Phone (360) 452-7891

1026 E 1st St
Port Angeles, WA 98362
Phone (360) 452-4432

Organizations & group practices 6

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": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1972004646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W 4TH ST APT 11",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622835",
            "telephone_number": "703-470-3479",
            "fax_number": "888-234-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W 4TH ST APT 11",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622835",
            "telephone_number": "703-470-3479",
            "fax_number": "888-234-5190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983624012",
            "country_code": "US",
            "telephone_number": "360-452-7891",
            "fax_number": "360-452-8087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 W Front St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983622609",
            "country_code": "US",
            "telephone_number": "360-452-7891",
            "fax_number": "360-452-8087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1026 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983624020",
            "country_code": "US",
            "telephone_number": "360-452-7891",
            "fax_number": "360-452-8087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVI",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-27",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A4865",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61395239",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW61395239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.