Provider Demographics
NPI:1558413542
Name:LEVINBOOK, SARA J (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:J
Last Name:LEVINBOOK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:50 ROOSEVELT AVENUE
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725
Mailing Address - Country:US
Mailing Address - Phone:631-543-1380
Mailing Address - Fax:631-543-1380
Practice Address - Street 1:3771 NESCONSET HIGHWAY
Practice Address - Street 2:SUITE 101B
Practice Address - City:SOUTH SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11720
Practice Address - Country:US
Practice Address - Phone:631-689-1854
Practice Address - Fax:631-689-1854
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0359351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4464710OtherMAGELLAN
NY1055720OtherBEACON
NY066259OtherVALUE OPTIONS
NY7403326OtherGHI
NY11267895OtherAETNA
NY34424OtherVYTRA
NY202536OtherUS HEALTH CARE
NY1055720OtherBEACON
NY4464710OtherMAGELLAN