MEDICARE: PAULINA B LEVINZON

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	37LC00210800	NJ
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	37LC00210800	PA
3	101YP2500X	Professional Counselor	PC017134	PA
4	101YP2500X	Professional Counselor	37PC00488500	NJ

General Provider Information

NPI Number	:	1184073983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULINA B LEVINZON

Provider Business Mailing Address
First Line	:	2 NORTH RD APT 3
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-7184
Country	:	US
Telephone Number	:	732-455-1303
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 NORTH RD APT 3
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-7184
Country	:	US
Telephone Number	:	732-455-1303
Fax Number	:

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

Provider Enumeration Date	:	06/13/2016
Last Update Date	:	06/26/2025

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Directions to “ PAULINA B LEVINZON ” Practice Location

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