Provider Demographics
NPI:1023028974
Name:LEVY, ERIC (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:LEVY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 TERRY DR STE 11
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1837
Mailing Address - Country:US
Mailing Address - Phone:917-656-6145
Mailing Address - Fax:
Practice Address - Street 1:4 TERRY DR STE 11
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1837
Practice Address - Country:US
Practice Address - Phone:917-656-6145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2015-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0735441041C0700X
PACW0165171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical