Provider Demographics
NPI:1447450481
Name:LEVITT, SUSAN LYNNE (ASW)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:LYNNE
Last Name:LEVITT
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:LYNNE
Other - Last Name:LEVITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1563 MISSION ST FL 2
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2592
Mailing Address - Country:US
Mailing Address - Phone:510-418-9414
Mailing Address - Fax:
Practice Address - Street 1:1563 MISSION ST FL 2
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2592
Practice Address - Country:US
Practice Address - Phone:510-418-9414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA115374104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker