MEDICARE: DEBORAH L LEV-ER MSW LCSW

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	1041C0700X	Clinical Social Worker	29412	CA
2	1041C0700X	Clinical Social Worker	LCS 29412	CA

General Provider Information

NPI Number	:	1629196977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH L LEV-ER MSW LCSW

Provider Business Mailing Address
First Line	:	4727 ANNADEL HEIGHTS DR
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-8207
Country	:	US
Telephone Number	:	414-248-1931
Fax Number	:	707-571-8195

Provider Business Practice Location Address
First Line	:	3438 MENDOCINO AVE # B
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-2275
Country	:	US
Telephone Number	:	707-387-4199
Fax Number	:

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

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	12/10/2022

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