Provider Demographics
NPI:1548336126
Name:LEVY, ELIZABETH MARGARET (LCSW, BCD)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:MARGARET
Last Name:LEVY
Suffix:
Gender:F
Credentials:LCSW, BCD
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:WEIR
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 WINCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1138
Mailing Address - Country:US
Mailing Address - Phone:215-643-9703
Mailing Address - Fax:215-643-9703
Practice Address - Street 1:205 WINCHESTER DR
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-1138
Practice Address - Country:US
Practice Address - Phone:215-643-9703
Practice Address - Fax:215-643-9703
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0126621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical