Provider Demographics
NPI:1649696311
Name:LEVY, LOIS MARTHA (LCSW)
Entity type:Individual
Prefix:DR
First Name:LOIS
Middle Name:MARTHA
Last Name:LEVY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:LOIS
Other - Middle Name:MARTHA
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:24 MORRIS CRES
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-1755
Mailing Address - Country:US
Mailing Address - Phone:914-316-0298
Mailing Address - Fax:
Practice Address - Street 1:24 MORRIS CRES
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-1755
Practice Address - Country:US
Practice Address - Phone:914-316-0298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-05
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR019551-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical