Provider Demographics
NPI:1033106547
Name:CLINICAL SOCIAL WORKERS INC
Entity Type:Organization
Organization Name:CLINICAL SOCIAL WORKERS INC
Other - Org Name:MARY B. LEVNER LCSW
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:B
Authorized Official - Last Name:LEVNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:301-229-8126
Mailing Address - Street 1:5206 MARLYN DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-1949
Mailing Address - Country:US
Mailing Address - Phone:301-229-8126
Mailing Address - Fax:
Practice Address - Street 1:5206 MARLYN DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-1949
Practice Address - Country:US
Practice Address - Phone:301-229-8126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD043691041C0700X
VA09040003451041C0700X
DCLC3010201041C0700X
MD042411041C0700X
VA09040003171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLE715690Medicare ID - Type Unspecified