Provider Demographics
NPI:1053610535
Name:LEVENTHAL, BELINDA (LCSW)
Entity type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:
Last Name:LEVENTHAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:J
Other - Last Name:SCHNEPF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1002 BRADFORD WAY
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:37763-3100
Mailing Address - Country:US
Mailing Address - Phone:865-376-1585
Mailing Address - Fax:865-376-1587
Practice Address - Street 1:1002 BRADFORD WAY
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:TN
Practice Address - Zip Code:37663-3100
Practice Address - Country:US
Practice Address - Phone:865-376-1585
Practice Address - Fax:865-376-1587
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-23
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000003478101YP2500X
TN58931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN12579015OtherCIGNA
TN465687800OtherTRICARE
TN12579015OtherHUMANA/LIFESYNCH
TNQ004642Medicaid
TN12579015OtherHUMANA/LIFESYNCH