Provider Demographics
NPI:1255108122
Name:LEVIN, CHLOE (LCSW-C)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:LEVIN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 BLAIR MILL WAY APT 602E
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-6863
Mailing Address - Country:US
Mailing Address - Phone:860-428-9849
Mailing Address - Fax:
Practice Address - Street 1:3301 WELLER RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-4156
Practice Address - Country:US
Practice Address - Phone:240-869-6349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD274641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical