Whalio Doctors

NPI 1003098484

Bradley Oliver Levy, LICSW

Practitioner Clinical Social Worker Boston, MA

Practice location

Address
1353 Dorchester Ave, Boston, MA 02122-2932
Phone
(617) 288-3230
Fax
(617) 282-0954
Mailing address
1353 Dorchester Ave, Dorchester, MA 02122-2932

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 115769 (MA)

Registry record

NPI
1003098484
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Nov 2007
Record last updated
13 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.