Provider Demographics
NPI:1972587202
Name:HARLEY, LINDA LEVY (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LEVY
Last Name:HARLEY
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:JANE
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:PO BOX 2544
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28793-2544
Mailing Address - Country:US
Mailing Address - Phone:828-692-8042
Mailing Address - Fax:
Practice Address - Street 1:706B FLEMING ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3526
Practice Address - Country:US
Practice Address - Phone:828-692-8042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC 000058 LCSW104100000X
NC014 LMFT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002190Medicaid
NC39557OtherBCBS OF NC
NC2863805Medicare PIN
NC6002190Medicaid