MEDICARE: BARBARA G LEVY LCSW

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	104100000X	Social Worker	44SC04308000	NJ

General Provider Information

NPI Number	:	1538117668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA G LEVY LCSW

Provider Business Mailing Address
First Line	:	605 BROAD AVE
Second Line	:	SUITE 106
City	:	RIDGEFIELD
State	:	NJ
Zip	:	07657-1697
Country	:	US
Telephone Number	:	800-932-0476
Fax Number	:	201-943-8733

Provider Business Practice Location Address
First Line	:	28 MILLBURN AVE
Second Line	:	SUITE 5
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081-1039
Country	:	US
Telephone Number	:	973-218-1776
Fax Number	:	973-989-4448

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/09/2007

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