Provider Demographics
NPI:1801194832
Name:MAFFEI LEVINE, PATRICIA (LMSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:MAFFEI LEVINE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 COURT NORTH DR
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-8100
Mailing Address - Country:US
Mailing Address - Phone:516-446-8910
Mailing Address - Fax:
Practice Address - Street 1:111 COURT NORTH DR
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-8100
Practice Address - Country:US
Practice Address - Phone:516-446-8910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY083174-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical