Provider Demographics
NPI:1831593946
Name:LEVICK, ROBIN (MFT)
Entity type:Individual
Prefix:MR
First Name:ROBIN
Middle Name:
Last Name:LEVICK
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:582 MARKET ST STE 1904
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5320
Mailing Address - Country:US
Mailing Address - Phone:415-493-8659
Mailing Address - Fax:
Practice Address - Street 1:582 MARKET ST STE 1904
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5320
Practice Address - Country:US
Practice Address - Phone:415-493-8659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75003106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist