Healthcare Provider Details

I. General information

NPI: 1497901557
Provider Name (Legal Business Name): RACHEL LEAH LEVAN MSW,LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2008
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 RED OAKS SHOPPING CTR
RONCEVERTE WV
24970-1364
US

IV. Provider business mailing address

PO BOX 103 155 FOURTH ST
RENICK WV
24966-0103
US

V. Phone/Fax

Practice location:
  • Phone: 304-520-4074
  • Fax:
Mailing address:
  • Phone: 304-667-7410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberAP00942926
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: