Provider Demographics
NPI:1932995834
Name:LEVITT, TESS REBECCA (MSW (EXPECTED MAY 9))
Entity type:Individual
Prefix:
First Name:TESS
Middle Name:REBECCA
Last Name:LEVITT
Suffix:
Gender:F
Credentials:MSW (EXPECTED MAY 9)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 CAROL LN
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-2038
Mailing Address - Country:US
Mailing Address - Phone:224-619-6773
Mailing Address - Fax:
Practice Address - Street 1:2235 N HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-3303
Practice Address - Country:US
Practice Address - Phone:773-645-3321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool