MEDICARE: JANET H LEVINE LICSW

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	1020920	MA

General Provider Information

NPI Number	:	1740315258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET H LEVINE LICSW

Provider Business Mailing Address
First Line	:	79 HARRISON AVE
Second Line	:
City	:	GREENFIELD
State	:	MA
Zip	:	01301-1423
Country	:	US
Telephone Number	:	413-665-1300
Fax Number	:	413-665-3477

Provider Business Practice Location Address
First Line	:	250 GREENFIELD ROAD
Second Line	:
City	:	SOUTH DEERFIELD
State	:	MA
Zip	:	01373-9790
Country	:	US
Telephone Number	:	413-665-1300
Fax Number	:	413-665-3477

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

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	07/08/2007

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Directions to “ JANET H LEVINE LICSW” Practice Location

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