Provider Demographics
NPI:1689264764
Name:LEVINSON, MEGHAN RENEE-MCNABB
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:RENEE-MCNABB
Last Name:LEVINSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 W TAYLOR RUN PKWY
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4930
Mailing Address - Country:US
Mailing Address - Phone:703-895-7973
Mailing Address - Fax:
Practice Address - Street 1:42 W TAYLOR RUN PKWY
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4930
Practice Address - Country:US
Practice Address - Phone:703-895-7973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040126251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical