Individual
ELLIOTT LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
601 CHILDRENS LN, 4TH FLOOR, SOCIAL WORK DEPT., NORFOLK, VA 23507-1910
(757) 668-7932
(757) 668-7950
Mailing address
693 OXFORD CIR, VIRGINIA BEACH, VA 23452-5815
(757) 486-8895
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
09040002307
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217882
ANTHEM
VA
05
—
89-49506
—
VA
01
—
O82445
SENTARA
VA
Enumeration date
07/18/2006
Last updated
07/09/2007
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