Provider Demographics
NPI:1649370511
Name:LEVIN, REBECCA (LCSW)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:
Last Name:LEVIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7942 N ODELL AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-2933
Mailing Address - Country:US
Mailing Address - Phone:773-307-2864
Mailing Address - Fax:
Practice Address - Street 1:330 S WELLS ST
Practice Address - Street 2:SUITE 400 D
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-7106
Practice Address - Country:US
Practice Address - Phone:773-307-2864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0105231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical