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NPI Code Detail

MEDICARE: SARAH LEBOVITZ LCSW

MEDICARE:   SARAH  LEBOVITZ  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
11041C0700XClinical Social WorkerLCSW0000000888

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24011069OTHERTNBLUE CROSS BLUESHIELD

General Provider Information

NPI Number : 1689756678
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH LEBOVITZ LCSW
Provider Business Mailing Address
First Line : 2670 UNION AVENUE EXT STE 710
Second Line :
City : MEMPHIS
State : TN
Zip : 38112-4416
Country : US
Telephone Number : 901-507-6814
Fax Number : 901-507-6815
Provider Business Practice Location Address
First Line : 2670 UNION AVENUE EXT STE 710
Second Line :
City : MEMPHIS
State : TN
Zip : 38112-4416
Country : US
Telephone Number : 901-507-6814
Fax Number : 901-507-6815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 07/09/2007

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Directions to “ SARAH LEBOVITZ LCSW” Practice Location

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