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General NPI Number Information
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NPI Number | 1144450008
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Entity Type | Individual
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Provider Name | RACHEL PHOEBE LEVENKRON LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 07/24/2009
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Provider Practice Location Address
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Address Line | 153 E MAIN ST SUITE F2
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City | MOUNT KISCO
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State | NY
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Zip | 10549-2317
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Country | US
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Telephone | 914-482-5335
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Fax |
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Provider Business Mailing Address
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Address Line | 258 HAWLEY RD
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City | NORTH SALEM
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State | NY
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Zip | 10560-2602
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Country | US
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Telephone | 914-485-1050
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P056899
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License Number State | NY
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