Provider Demographics
NPI:1841788965
Name:LEVINE, MORGAN (LCSW, LICSW, LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:
Last Name:LEVINE
Suffix:
Gender:F
Credentials:LCSW, LICSW, LCSW-C
Other - Prefix:MS
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:LEVINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LICSW, LCSW-C
Mailing Address - Street 1:813 JANICE DR
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-2801
Mailing Address - Country:US
Mailing Address - Phone:202-503-4373
Mailing Address - Fax:
Practice Address - Street 1:1221 LOCUST ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5572
Practice Address - Country:US
Practice Address - Phone:609-317-0955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-24
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW132525104100000X
MD255421041C0700X
DCLC2000014551041C0700X
PACW0218371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherN/A