Provider Demographics
NPI:1003282872
Name:LEVIS, LINDSEY (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:LEVIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17021 OLD ORCHARD RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-4832
Mailing Address - Country:US
Mailing Address - Phone:302-703-6225
Mailing Address - Fax:302-827-4856
Practice Address - Street 1:31432 WATERS WAY
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-5905
Practice Address - Country:US
Practice Address - Phone:443-690-4021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00009441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical