Provider Demographics
NPI:1265826978
Name:LEVINE, MARCI (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARCI
Middle Name:
Last Name:LEVINE
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 1:1763 COUNTRY CLUB DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2763
Mailing Address - Country:US
Mailing Address - Phone:856-281-1854
Mailing Address - Fax:
Practice Address - Street 1:3201 E. EVESHAM ROAD SUITE 109
Practice Address - Street 2:SUITE 109
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-0804
Practice Address - Country:US
Practice Address - Phone:856-281-1854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-20
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05621300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health