Doctor Name: | MRS. BEULAH LEVY |
NPI Number: | 1073789681 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW# |
License Number: | 0904004045 |
Business Practice Address: | 1320 Vincent Pl Mc Lean, VA - 221013614 |
Business Phone Number: | 7033568994 |
Business Fax Number: | |
Mailing Address: | 1417 Buena Vista Ave, MC LEAN |
State: | VA |
Postal Code: | 221013511 |
Phone Number: | 7033568994 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2008 |
NPI Last Update Date: | 05/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904004045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |