Provider Demographics
NPI:1730672676
Name:LEVERSON, LINNEA CAMAR
Entity Type:Individual
Prefix:MS
First Name:LINNEA
Middle Name:CAMAR
Last Name:LEVERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4257 HILDRETH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-4937
Mailing Address - Country:US
Mailing Address - Phone:202-591-6432
Mailing Address - Fax:
Practice Address - Street 1:4257 HILDRETH ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4937
Practice Address - Country:US
Practice Address - Phone:202-591-6432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-13
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040147161041C0700X
MD297301041C0700X
DCLC500798601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0904014716OtherLCSW
MD29730OtherLCSW-C
DCLC50079860OtherLICSW