SUSAN S. LEVINE LCSW, BCD
NPI 1164751657
Social Worker - Clinical in Ardmore, PA

Active since December 14, 2009Opted out of Medicare · through Jan 1, 2028
119 COULTER AVE, SUITE 214, ARDMORE, PA 19003(610) 642-9546(610) 664-1511 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan S. Levine Lcsw, Bcd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN S. LEVINE LCSW, BCD (NPI 1164751657) is an individual clinical provider in Ardmore, Pennsylvania, licensed in Pennsylvania (CW-000407-L) and active in the NPI registry since December 2009. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164751657
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN S. LEVINECredential: LCSW, BCD
Location Address119 COULTER AVE, SUITE 214Ardmore, PA 19003-2427
Mailing Address119 Coulter Ave, Suite 214Ardmore, PA 19003-2427 · (610) 642-9546 · Fax (610) 664-1511
Fax(610) 664-1511
Sole ProprietorYes
Enumeration DateDecember 14, 2009
Last NPPES UpdateApril 5, 2012
NPI 1164751657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in PA · CW-000407-L
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedPsychoanalystTaxonomy 102L00000X
119 COULTER AVE, Ardmore, PA 19003

Other Identifiers 1

Medicare PINLE634525PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Susan S. Levine Lcsw, Bcd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
119 COULTER AVE, SUITES 145-155
ARDMORE, PA 19003
Psychiatry & Neurology (Psychiatry)
119 COULTER AVE, SUITE 200
ARDMORE, PA 19003
Social Worker (Clinical)
119 COULTER AVE, SUITE 213
ARDMORE, PA 19003
Podiatrist
119 COULTER AVE
ARDMORE, PA 19003
Psychologist
119 COULTER AVE
ARDMORE, PA 19003
Social Worker (Clinical)
119 COULTER AVE, SUITE 211
ARDMORE, PA 19003
Psychologist
119 COULTER AVE, SUITE 101
ARDMORE, PA 19003
Psychologist (Clinical)
119 COULTER AVE, SUITE 202
ARDMORE, PA 19003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Levine's NPI number?

The NPI number for Susan Levine is 1164751657. It was assigned to this individual provider in the NPPES registry on December 14, 2009.

Where is Susan Levine located?

Susan Levine practices at 119 Coulter Ave Suite 214, Ardmore, PA 19003. The listed phone number is (610) 642-9546.

What is Susan Levine's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Susan Levine enrolled in Medicare?

No. Susan Levine has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Susan Levine was last updated on April 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.