| Barry Levy Llc | |
|
20911 Miracle Dr Gaithersburg MD 20882-4451 | |
| (301) 315-9009 | |
| Not Available |
| Full Name | Barry Levy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 20911 Miracle Dr, Gaithersburg, Maryland |
| Authorized Official Name and Position | Barry A Levy (OWNER/CLINICIAN) |
| Authorized Official Contact | 3013159009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry Levy Llc 20911 Miracle Dr Gaithersburg MD 20882-4451 Ph: (301) 315-9009 | Barry Levy Llc 20911 Miracle Dr Gaithersburg MD 20882-4451 Ph: (301) 315-9009 |
| NPI Number | 1881498525 |
|---|---|
| Provider Enumeration Date | 04/02/2025 |
| Last Update Date | 04/02/2025 |
| Certification Date | 04/02/2025 |
| Medicare PECOS PAC ID | 3779008750 |
|---|---|
| Medicare Enrollment ID | O20250422003793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881498525 | NPI | - | NPPES |
| 1407925514 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Barry Alan Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407925514 PECOS PAC ID: 9739249301 Enrollment ID: I20081201000150 |
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