Provider Demographics
NPI:1508176629
Name:LEVI, MARGO A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGO
Middle Name:A
Last Name:LEVI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:ALEXANDRA
Other - Last Name:LEVI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:3310 GEARY STREET
Mailing Address - Street 2:HUCKLEBERRY YOUTH PROGRAMS
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3324
Mailing Address - Country:US
Mailing Address - Phone:415-509-2764
Mailing Address - Fax:
Practice Address - Street 1:3310 GEARY STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3324
Practice Address - Country:US
Practice Address - Phone:415-509-2764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 189271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical