Basic Information
| Provider Information | |||||||||
| NPI: | 1023020781 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEVEY | ||||||||
| FirstName: | LORI | ||||||||
| MiddleName: | C. | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3495 PIEDMONT ROAD, NE | ||||||||
| Address2: | NINE PIEDMONT CENTER | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4043647070 | ||||||||
| FaxNumber: | 4042923848 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 CRESCENT CENTRE PARKWAY | ||||||||
| Address2: | KAISER PERMANENTE CRESCENT CENTRE MEDICAL CENTER | ||||||||
| City: | TUCKER | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30084 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7704963610 | ||||||||
| FaxNumber: | 4042923848 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2006 | ||||||||
| LastUpdateDate: | 02/23/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | CSW 002520 | GA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.