MR. CHARLES DAVID LEVINE (LCSW) – Clinical Social Worker, NPI 1013230218

MR. CHARLES DAVID LEVINE (LCSW) is a healthcare provider. based in South orange, New Jersey. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. R042736-1 (NY). The NPI Number for MR. CHARLES DAVID LEVINE (LCSW) is 1013230218

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHARLES DAVID LEVINE (LCSW)
NPI
1013230218
Phone
(917) 670-5370
Address
128 S CENTRE ST
Enumeration Date
3 March 2010
Last Update Date
3 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5165057200
Graduation Year
1990 (36 years ago)
PAC ID
4789675604
Group Practice PAC ID
9234291436
Professional Enrollment ID
I20040520000181
Address ID
NY115521152WE510XXTPKE301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

7,009 CLINICAL SOCIAL WORKER in NY

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Provider Addresses for MR. CHARLES DAVID LEVINE (LCSW)

  • South Centre Street, South Orange, Essex County, New Jersey, 07079, United States

    SOUTH ORANGE, NJ 070792610

    Phone: (917) 670-5370

    Type: Mailing

  • 80, East 11th Street, Greenwich Village, Manhattan Community Board 2, Manhattan, New York County, New York, 10003, United States

    ROOM 439

    NEW YORK, NY 100036811

    Phone: (917) 670-5370

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040520000181IClinical Social WorkerNYTBD
I20220124002344IClinical Social WorkerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes10018$0
90853Group psychotherapy7517$0
View full utilization report →

Insurance plans in this area (ZIP 07079)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234291436View full group profile
NameSpecialtyState
Physician AssistantNY
Clinical Social WorkerGA
Clinical Social WorkerNJ
Nurse PractitionerNY
Nurse PractitionerON
Nurse PractitionerNY
Clinical Social WorkerNY
Physician AssistantNY
Nurse PractitionerNY
P S Y C H I A T R YNJ

Reviews

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Frequently asked questions

Can I cross-check MR. CHARLES DAVID LEVINE (LCSW) using NPI 1013230218?
NPI 1013230218 belongs to MR. CHARLES DAVID LEVINE (LCSW); compare other details if you need extra assurance.
Would MR. CHARLES DAVID LEVINE (LCSW) appear as active to a payer?
You can treat MR. CHARLES DAVID LEVINE (LCSW) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. CHARLES DAVID LEVINE (LCSW)?
At a glance, MR. CHARLES DAVID LEVINE (LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in New Jersey is MR. CHARLES DAVID LEVINE (LCSW) registered?
Use South Orange, New Jersey as the headline location for MR. CHARLES DAVID LEVINE (LCSW) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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