Provider Demographics
NPI:1174678593
Name:LEVIN, JUDITH ELMAN (LCSW)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ELMAN
Last Name:LEVIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 GARTH RD
Mailing Address - Street 2:APT. E6G
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3917
Mailing Address - Country:US
Mailing Address - Phone:914-772-0438
Mailing Address - Fax:
Practice Address - Street 1:14 HARWOOD CT
Practice Address - Street 2:STE 405
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4120
Practice Address - Country:US
Practice Address - Phone:914-772-0438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0182211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical