Provider Demographics
NPI:1598982183
Name:LEVOY, DEBRA BETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:BETH
Last Name:LEVOY
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 1:9818 HANNUM DR.
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-3909
Mailing Address - Country:US
Mailing Address - Phone:310-280-0135
Mailing Address - Fax:
Practice Address - Street 1:765 W. COLLEGE ST.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012
Practice Address - Country:US
Practice Address - Phone:213-580-7300
Practice Address - Fax:213-580-7241
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA203009OtherEMPLOYEE NUMBER