Doctor Name: | LORI C. LEVEY |
NPI Number: | 1023020781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CSW 002520 |
Business Practice Address: | 200 Crescent Centre Parkway Kaiser Permanente Crescent Centre Medical Center Tucker, GA - 30084 |
Business Phone Number: | 7704963610 |
Business Fax Number: | 4042923848 |
Mailing Address: | 3495 Piedmont Road, Ne, Nine Piedmont Center ATLANTA |
State: | GA |
Postal Code: | 30305 |
Phone Number: | 4043647070 |
Fax Number: | 4042923848 |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 02/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW 002520 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |