Provider Demographics
NPI:1134311301
Name:ARONSON, LEVANA (MSW,ACSW)
Entity Type:Individual
Prefix:MRS
First Name:LEVANA
Middle Name:
Last Name:ARONSON
Suffix:
Gender:F
Credentials:MSW,ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 HOGBACK RD
Mailing Address - Street 2:#7
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9749
Mailing Address - Country:US
Mailing Address - Phone:734-677-0918
Mailing Address - Fax:734-677-0964
Practice Address - Street 1:2010 HOGBACK RD
Practice Address - Street 2:#7
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9749
Practice Address - Country:US
Practice Address - Phone:734-677-0918
Practice Address - Fax:734-677-0964
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801068506101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801068506OtherLICENSE NO.
MI0N18210001Medicare PIN