Provider Demographics
NPI:1881700664
Name:LEVY, BARBARA LINDA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:LINDA
Last Name:LEVY
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 1:519 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-4404
Mailing Address - Country:US
Mailing Address - Phone:919-466-9109
Mailing Address - Fax:
Practice Address - Street 1:130 N JUDD PKWY NE
Practice Address - Street 2:SOUTHERN REGIONAL CENTER
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2367
Practice Address - Country:US
Practice Address - Phone:919-557-1023
Practice Address - Fax:919-557-1018
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0025591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical