Provider Demographics
NPI:1215720446
Name:RIZZO LEVINE, MARTINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARTINE
Middle Name:
Last Name:RIZZO 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 1:115 E 9TH ST APT 12F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5420
Mailing Address - Country:US
Mailing Address - Phone:201-625-1927
Mailing Address - Fax:
Practice Address - Street 1:115 E 9TH ST APT 12F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-5420
Practice Address - Country:US
Practice Address - Phone:201-625-1927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC013837001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical