Provider Demographics
NPI:1053327742
Name:LEVI, RONA (LCSW-C)
Entity type:Individual
Prefix:
First Name:RONA
Middle Name:
Last Name:LEVI
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4623 FALLS RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4914
Mailing Address - Country:US
Mailing Address - Phone:410-366-1980
Mailing Address - Fax:410-366-8530
Practice Address - Street 1:10451 TWIN RIVERS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2388
Practice Address - Country:US
Practice Address - Phone:410-997-3557
Practice Address - Fax:410-964-1791
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD060681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDPVPB125901OtherAPS HEALTHCARE
MDQS 31OtherBCBS (PRIVATE)
MD226091OtherKAISER
MD447495OtherMAMSI
MD7769112OtherAETNA BEHAVIORAL HEALTH
MHW493-0001OtherFEP, BLUE CHOICE (PRIVATE
MD520540OtherBCBS-MD
MD118138-00OtherMAGELLAN HEALTHCARE
MD226064OtherCOMPSYCH
MD347495OtherMAMSI (PRIVATE)
MD01887OtherVALUEOPT (PRIVATE)
MD78587OtherUNITED BEHAVIORAL HEALTH
MD754251800Medicaid
MD096583OtherMHN (PRIVATE)
MDT541 0026OtherBCBS-DC