Organization
ANDREA LEVINSON
Active
Organization
ANDREA LEVINSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA LEVINSON LCSW (SOLE PROPRIETOR)
(904) 471-1414
Entity
Organization
Contact information
Practice address
2180 A1A S, SUITE 201, SAINT AUGUSTINE, FL 32080-6591
(904) 471-1414
Mailing address
2180 A1A S, SUITE 201, SAINT AUGUSTINE, FL 32080-6591
(904) 471-1414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U0764
MEDICARE, FORMER UPIN
FL
Enumeration date
05/16/2014
Last updated
05/16/2014
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