Provider Demographics
NPI:1174616346
Name:LEVY, KATE MOLLY (LCSW)
Entity type:Individual
Prefix:MS
First Name:KATE
Middle Name:MOLLY
Last Name:LEVY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25044 PEACHLAND AVENUE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321
Mailing Address - Country:US
Mailing Address - Phone:818-759-1899
Mailing Address - Fax:310-459-2383
Practice Address - Street 1:25044 PEACHLAND AVENUE
Practice Address - Street 2:SUITE 203
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321
Practice Address - Country:US
Practice Address - Phone:818-759-1899
Practice Address - Fax:310-459-2383
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALS12357104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker