Provider Demographics
NPI:1972624583
Name:LEVINE, PEARL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PEARL
Middle Name:
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 1:401 EAST 65TH ST
Mailing Address - Street 2:#4F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-249-2474
Mailing Address - Fax:
Practice Address - Street 1:401 EAST 65TH ST
Practice Address - Street 2:#4F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-6943
Practice Address - Country:US
Practice Address - Phone:212-249-2474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0168531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical