MEDICARE: ADAM MICHAEL LEVINE MSW

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	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker	C007952	NC

General Provider Information

NPI Number	:	1043468663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM MICHAEL LEVINE MSW

Provider Business Mailing Address
First Line	:	901 EAST BLVD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5203
Country	:	US
Telephone Number	:	43-352-7607
Fax Number	:

Provider Business Practice Location Address
First Line	:	8226 VILLAGE HARBOR DR
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-3706
Country	:	US
Telephone Number	:	704-897-7287
Fax Number	:

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

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	10/03/2025

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