Provider Demographics
NPI: | 1801005186 |
---|---|
Name: | LEVERINGTON, REBECCA (MSW) |
Entity Type: | Individual |
Prefix: | |
First Name: | REBECCA |
Middle Name: | |
Last Name: | LEVERINGTON |
Suffix: | |
Gender: | F |
Credentials: | MSW |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 924 ROCK CANYON DR |
Mailing Address - Street 2: | |
Mailing Address - City: | DUNCANVILLE |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75137-2946 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 972-709-3019 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 924 ROCK CANYON DR |
Practice Address - Street 2: | |
Practice Address - City: | DUNCANVILLE |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75137-2946 |
Practice Address - Country: | US |
Practice Address - Phone: | 972-709-3019 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2007-05-22 |
Last Update Date: | 2007-07-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 19680 | 101YP2500X |
TX | 33159 | 1041C0700X |
TX | 004783-005227 | 106H00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Not Answered | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional |
Not Answered | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical |
Not Answered | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |