Provider Demographics
NPI:1487705729
Name:LEVY, BARBARA NOTKIN (LICSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:NOTKIN
Last Name:LEVY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MR
Other - First Name:JON
Other - Middle Name:ANDREW
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:28 PERRAULT RD
Mailing Address - Street 2:APT #3
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-3290
Mailing Address - Country:US
Mailing Address - Phone:781-444-5028
Mailing Address - Fax:
Practice Address - Street 1:190 LENOX ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3416
Practice Address - Country:US
Practice Address - Phone:781-769-8674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA110277101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health