Provider Demographics
NPI:1346546389
Name:LEVI, STEPHANIE ELANA NADLER (LCSW)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ELANA NADLER
Last Name:LEVI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:ELANA
Other - Last Name:NADLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 BATTLEFIELD AVE SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30317-1631
Mailing Address - Country:US
Mailing Address - Phone:404-381-1813
Mailing Address - Fax:
Practice Address - Street 1:150 BATTLEFIELD AVE SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30317-1631
Practice Address - Country:US
Practice Address - Phone:404-381-1813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool