Healthcare Provider Details

I. General information

NPI: 1942731849
Provider Name (Legal Business Name): NEDA LEVI MA, MSW, ACSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 W SAN MARCOS BLVD
SAN MARCOS CA
92069-5610
US

IV. Provider business mailing address

14515 HAMLIN ST STE 200
VAN NUYS CA
91411-1694
US

V. Phone/Fax

Practice location:
  • Phone: 818-602-3980
  • Fax:
Mailing address:
  • Phone: 818-373-4993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number106584
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: