Provider Demographics
NPI:1932134301
Name:LEVINE, SHEILA BROOKS (LCSW)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:BROOKS
Last Name:LEVINE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 HIGHWAY 70 E STE 1
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-7013
Mailing Address - Country:US
Mailing Address - Phone:615-200-0655
Mailing Address - Fax:615-740-0227
Practice Address - Street 1:102 HIGHWAY 70 E STE 1
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-7013
Practice Address - Country:US
Practice Address - Phone:615-375-8095
Practice Address - Fax:615-740-0227
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0006541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
413607OtherVALUE OPTIONS
TN175802OtherCOMPSYCH
TN62-4484OtherUNITED BEHAVIORAL HEALTH
TN3922435Medicaid
2031901OtherCIGNA
TN3154356OtherBCBS
TN62-4484OtherUNITED BEHAVIORAL HEALTH