Provider Demographics
NPI:1124266416
Name:LEVINE, MONICA BETH (LICSW)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:BETH
Last Name:LEVINE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:962 APPLE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:ASHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01330-9619
Mailing Address - Country:US
Mailing Address - Phone:413-335-5347
Mailing Address - Fax:
Practice Address - Street 1:962 APPLE VALLEY RD
Practice Address - Street 2:
Practice Address - City:ASHFIELD
Practice Address - State:MA
Practice Address - Zip Code:01330-9619
Practice Address - Country:US
Practice Address - Phone:413-335-5347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1015289101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health