LAURA GAY LEVIN LCSW
NPI 1912411760
Social Worker - Clinical in Santa Rosa, CA

Active since November 30, 2017Opted out of Medicare · through Sep 17, 2026
825 COLLEGE AVE, SANTA ROSA, CA 95404(707) 217-1398 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura Gay Levin Lcsw NPPES

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

LAURA GAY LEVIN LCSW (NPI 1912411760) is an individual clinical provider in Santa Rosa, California, licensed in California (20253) and active in the NPI registry since November 2017. She has opted out of Medicare through September 17, 2026.

NPPES Registry Identity

NPI1912411760
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLAURA GAY LEVINCredential: LCSW
Location Address825 COLLEGE AVESanta Rosa, CA 95404-4108
Mailing Address825 College Ave Ste 9Santa Rosa, CA 95404-4108 · (707) 217-1398
Sole ProprietorYes
Enumeration DateNovember 30, 2017
NPI 1912411760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 20253
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.
825 COLLEGE AVE, Santa Rosa, CA 95404

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Laura Gay Levin Lcsw 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 September 17, 2022 through September 17, 2026.

Opt-Out Effective DateSeptember 17, 2022
Opt-Out In Effect ThroughSeptember 17, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

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

Psychologist
825 COLLEGE AVE
SANTA ROSA, CA 95404
Psychologist
825 COLLEGE AVE
SANTA ROSA, CA 95404
Counselor (Professional)
825 COLLEGE AVE
SANTA ROSA, CA 95404
Psychologist
825 COLLEGE AVE
SANTA ROSA, CA 95404
Marriage & Family Therapist
825 COLLEGE AVE
SANTA ROSA, CA 95404
Psychologist (Clinical)
825 COLLEGE AVE
SANTA ROSA, CA 95404
Marriage & Family Therapist
825 COLLEGE AVE
SANTA ROSA, CA 95404
Psychologist
825 COLLEGE AVE, # 5
SANTA ROSA, CA 95404

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 Laura Levin's NPI number?

The NPI number for Laura Levin is 1912411760. It was assigned to this individual provider in the NPPES registry on November 30, 2017.

Where is Laura Levin located?

Laura Levin practices at 825 College Ave, Santa Rosa, CA 95404. The listed phone number is (707) 217-1398.

What is Laura Levin's specialty?

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

Is Laura Levin enrolled in Medicare?

No. Laura Levin has opted out of Medicare through September 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Laura Levin was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.