Individual
MS. LISA A LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CAS, CECP
Contact information
Practice address
62803 US 31 S, SOUTH BEND, IN 46614-4832
(574) 313-1374
Mailing address
62803 US 31 S, SOUTH BEND, IN 46614-4832
(574) 313-1374
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW003654
GA
1041C0700X
Clinical Social Worker
097536-01
NY
1041C0700X
Clinical Social Worker
Primary
34005742A
IN
Other
Enumeration date
01/23/2009
Last updated
04/27/2026
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