Provider Demographics
NPI:1043398902
Name:LAWRENCE LEVNER MSW INC
Entity Type:Organization
Organization Name:LAWRENCE LEVNER MSW INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
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:301-576-4213
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:301-576-4213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD042411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD=========OtherEIN