Provider Demographics
NPI:1457034142
Name:LEVITES, ABIGAIL JILL (DSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:JILL
Last Name:LEVITES
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 E 59TH ST APT 5D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1549
Mailing Address - Country:US
Mailing Address - Phone:516-987-2978
Mailing Address - Fax:
Practice Address - Street 1:324 E 59TH ST APT 5D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1549
Practice Address - Country:US
Practice Address - Phone:516-987-2978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY088888-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical