Active NPIIndividual providerSole proprietor

Mr. Jack B Levin, LICSW

Social Worker, Clinical in Woburn, Massachusetts

NPI Number1083999338
Practice location
800 W Cummings Park, Suite 3000, Woburn, MA 01801-6372
Fax
—
Last updated
August 31, 2015

Jack Brian Levin is a Social Worker, Clinical based in Woburn, MA. Jack Brian Levin practices in Woburn, MA and has the professional credentials of LICSW. The NPI Number for Jack Brian Levin is 1083999338 and holds a License No. 118144 (MA). The current practice location address for Jack Brian Levin is 800 W Cummings Park, Suite 3000, Woburn, MA 01801-6372 and can be reached out via phone at 617-417-4535.

Provider Profile Details

NPI Number
1083999338
Provider Name
Jack Brian Levin
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
800 W Cummings Park, Suite 3000, Woburn, MA 01801-6372
Phone Number
617-417-4535
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 19, 2011
Last Update Date
August 31, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 W Cummings Park
Suite 3000
Woburn, MA 01801-6372
City
Woburn
Zip
01801-6372
Phone Number
617-417-4535
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
23 Leach St
Salem, MA 01970-4710
City
Salem
State
MA
Zip
01970-4710
Phone Number
617-417-4535

License Information

License Number
118144
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jack B Levin, LICSW?

The NPI number of Mr. Jack B Levin, LICSW is 1083999338. It was assigned on October 19, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Jack B Levin, LICSW?

Mr. Jack B Levin, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 118144.

Where does Mr. Jack B Levin, LICSW practice?

The practice location is 800 W Cummings Park, Suite 3000, Woburn, MA 01801-6372. The office can be reached at 617-417-4535 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083999338 directly on the NPPES registry website.

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