Provider Demographics
NPI:1538316690
Name:HARVEY-LEVINE, ELLEN J (JD, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:J
Last Name:HARVEY-LEVINE
Suffix:
Gender:F
Credentials:JD, LCSW
Other - Prefix:MS
Other - First Name:ELLEN
Other - Middle Name:
Other - Last Name:LEVINE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JD, LCSW
Mailing Address - Street 1:16 ARCADIAN WAY
Mailing Address - Street 2:SUITE C-2
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1291
Mailing Address - Country:US
Mailing Address - Phone:201-845-9800
Mailing Address - Fax:201-845-8663
Practice Address - Street 1:16 ARCADIAN WAY
Practice Address - Street 2:SUITE C-2
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1291
Practice Address - Country:US
Practice Address - Phone:201-845-9800
Practice Address - Fax:201-845-8663
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05220100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health