Provider Demographics
NPI:1013664598
Name:LEVIN, JANE
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:LEVIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:YANA
Other - Middle Name:
Other - Last Name:LEVIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5450 KIOWA DR UNIT 44
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-1315
Mailing Address - Country:US
Mailing Address - Phone:818-414-6675
Mailing Address - Fax:
Practice Address - Street 1:5450 KIOWA DR UNIT 44
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-1315
Practice Address - Country:US
Practice Address - Phone:818-414-6675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-04
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1275381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical