Provider Demographics
NPI:1609064765
Name:LEVIN-GREENBLATT, REBECCA COMFORT (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:COMFORT
Last Name:LEVIN-GREENBLATT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:REBECCA
Other - Middle Name:C
Other - Last Name:LEVIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:226 W PARK PL STE 6
Mailing Address - Street 2:SUITE 6
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-4516
Mailing Address - Country:US
Mailing Address - Phone:302-733-0700
Mailing Address - Fax:302-733-0701
Practice Address - Street 1:226 W PARK PL STE 6
Practice Address - Street 2:SUITE 6
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-4516
Practice Address - Country:US
Practice Address - Phone:302-733-0700
Practice Address - Fax:302-733-0701
Is Sole Proprietor?:No
Enumeration Date:2007-10-13
Last Update Date:2007-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00005191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical