Provider Demographics
NPI:1184073983
Name:LEVINZON, PAULINA B
Entity type:Individual
Prefix:
First Name:PAULINA
Middle Name:B
Last Name:LEVINZON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 NORTH RD APT 3
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-7184
Mailing Address - Country:US
Mailing Address - Phone:732-455-1303
Mailing Address - Fax:
Practice Address - Street 1:2 NORTH RD APT 3
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-7184
Practice Address - Country:US
Practice Address - Phone:732-455-1303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00210800101YA0400X
PA37LC00210800101YA0400X
PAPC017134101YP2500X
NJ37PC00488500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)