Provider Demographics
NPI:1215043286
Name:LEVINSON, GAIL S (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:S
Last Name:LEVINSON
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 1:402 W 26TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-3414
Mailing Address - Country:US
Mailing Address - Phone:302-764-0474
Mailing Address - Fax:302-764-0124
Practice Address - Street 1:402 W 26TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-3414
Practice Address - Country:US
Practice Address - Phone:302-764-0474
Practice Address - Fax:302-764-0124
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ100002331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical