Provider Demographics
NPI:1063843795
Name:LEVIN, FRAN (LMSW)
Entity Type:Individual
Prefix:
First Name:FRAN
Middle Name:
Last Name:LEVIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 WINTHROP LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-1126
Mailing Address - Country:US
Mailing Address - Phone:248-792-8181
Mailing Address - Fax:
Practice Address - Street 1:1712 WINTHROP LN
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-1126
Practice Address - Country:US
Practice Address - Phone:248-792-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-05
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010837031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical