# KATHLEEN S LEVENSTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063486447
- **Gender:** F
- **Credential:** L.C.S.W.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 0904005283 | VA | Yes |
| 1041C0700X | Clinical Social Worker | 0904005283 | VA | — |

## Other

- **Enumeration date:** 02/14/2006
- **Last updated:** 03/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008945187 | — | VA |
| 01 | — | 0904005283 | LCSW LICENSE \# | VA |