MEDICARE: MS. SUSAN LYNNE LEVITT ASW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	115374	CA

General Provider Information

NPI Number	:	1447450481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUSAN LYNNE LEVITT ASW

Provider Business Mailing Address
First Line	:	1563 MISSION ST FL 2
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-2592
Country	:	US
Telephone Number	:	510-418-9414
Fax Number	:

Provider Business Practice Location Address
First Line	:	1563 MISSION ST FL 2
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-2592
Country	:	US
Telephone Number	:	510-418-9414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	05/31/2024

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