Provider Demographics
NPI:1326172552
Name:LEVY, DVORAH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DVORAH
Middle Name:
Last Name:LEVY
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 1:1175 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1932
Mailing Address - Country:US
Mailing Address - Phone:516-660-7157
Mailing Address - Fax:
Practice Address - Street 1:1810 AVENUE N
Practice Address - Street 2:C/O GOLDIE ISAACS
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6105
Practice Address - Country:US
Practice Address - Phone:718-787-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076371-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical