| Beth M Levine Lcsw Llc | |
|
2530 Crawford Ave Suite 219 Evanston IL 60201-4970 | |
| (847) 975-6778 | |
| Not Available |
| Full Name | Beth M Levine Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2530 Crawford Ave, Evanston, Illinois |
| Authorized Official Name and Position | Beth Levine (OWNER) |
| Authorized Official Contact | 7085606653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth M Levine Lcsw Llc 2530 Crawford Ave Suite 219 Evanston IL 60201-4970 Ph: (708) 560-6653 | Beth M Levine Lcsw Llc 2530 Crawford Ave Suite 219 Evanston IL 60201-4970 Ph: (847) 975-6778 |
| NPI Number | 1528306545 |
|---|---|
| Provider Enumeration Date | 01/25/2013 |
| Last Update Date | 12/11/2013 |
| Medicare PECOS PAC ID | 8022245422 |
|---|---|
| Medicare Enrollment ID | O20131210001348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528306545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149012157 (Illinois) | Primary |
| Provider Name | Beth M Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457362220 PECOS PAC ID: 6002976024 Enrollment ID: I20081120000829 |
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