| Stephanie Levy Licsw Llc | |
|
11225 Davenport St Suite 103 Omaha NE 68154-2641 | |
| (402) 934-2661 | |
| Not Available |
| Full Name | Stephanie Levy Licsw Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11225 Davenport St, Omaha, Nebraska |
| Authorized Official Name and Position | Stephanie Levy (OWNER) |
| Authorized Official Contact | 4029342661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Levy Licsw Llc 11225 Davenport St Suite 103 Omaha NE 68154-2641 Ph: (402) 934-2661 | Stephanie Levy Licsw Llc 11225 Davenport St Suite 103 Omaha NE 68154-2641 Ph: (402) 934-2661 |
| NPI Number | 1013368018 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 09/06/2016 |
| Medicare PECOS PAC ID | 4183911654 |
|---|---|
| Medicare Enrollment ID | O20160927001716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013368018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1165 (Nebraska) | Primary |
| Provider Name | Stephanie A Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700923240 PECOS PAC ID: 1759535230 Enrollment ID: I20130209000003 |
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