Provider Demographics
NPI:1023020781
Name:LEVEY, LORI C (LCSW)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:C
Last Name:LEVEY
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 1:3495 PIEDMONT ROAD, NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:404-292-3848
Practice Address - Street 1:200 CRESCENT CENTRE PARKWAY
Practice Address - Street 2:KAISER PERMANENTE CRESCENT CENTRE MEDICAL CENTER
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084
Practice Address - Country:US
Practice Address - Phone:770-496-3610
Practice Address - Fax:404-292-3848
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW 0025201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical