MR. GARY DOUGLAS LEVINE (MSW, LPC, LCSW) – Clinical Social Worker, NPI 1861670283

MR. GARY DOUGLAS LEVINE (MSW, LPC, LCSW) is a healthcare provider. based in Mercerville, New Jersey. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LPC, LCSW. They hold a License No. SW122788 (PA). The NPI Number for MR. GARY DOUGLAS LEVINE (MSW, LPC, LCSW) is 1861670283

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. GARY DOUGLAS LEVINE (MSW, LPC, LCSW)
NPI
1861670283
Phone
(609) 689-3078
Address
20 HOLLYNOLL DR
Enumeration Date
7 February 2008
Last Update Date
12 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6098440452
Graduation Year
2018 (8 years ago)
PAC ID
0648503938
Professional Enrollment ID
I20190530002575
Address ID
NJ086481033LA22XXXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for MR. GARY DOUGLAS LEVINE (MSW, LPC, LCSW)

  • 20 HOLLYNOLL DR

    MERCERVILLE, NJ 086192208

    Phone: (609) 689-3078

    Fax: (215) 235-4592

    Type: Mailing

  • 112 N BROAD ST

    RM 821

    PHILA, PA 191021510

    Phone: (215) 568-0860

    Fax: (215) 568-0769

    Type: Location

  • PO BOX 6573

    LAWRENCEVILLE, NJ 086480573

    Phone: (609) 844-0452

    Fax: (609) 844-0518

    Type: Mailing

  • 22 GORDON AVE

    LAWRENCEVILLE, NJ 086481033

    Phone: (098) 440-4526

    Fax: (609) 844-0518

    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: 2019-05-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20190530002575IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08619)

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Reviews

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Frequently asked questions

How do payers reference MR. GARY DOUGLAS LEVINE (MSW, LPC, LCSW)?
For MR. GARY DOUGLAS LEVINE (MSW, LPC, LCSW), use NPI 1861670283 as the unique 10-digit identifier.
Would MR. GARY DOUGLAS LEVINE (MSW, LPC, LCSW) appear as active to a payer?
You can treat MR. GARY DOUGLAS LEVINE (MSW, LPC, LCSW) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MR. GARY DOUGLAS LEVINE (MSW, LPC, LCSW)?
MR. GARY DOUGLAS LEVINE (MSW, LPC, LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Where in New Jersey is MR. GARY DOUGLAS LEVINE (MSW, LPC, LCSW) registered?
Use Mercerville, New Jersey as the headline location for MR. GARY DOUGLAS LEVINE (MSW, LPC, LCSW) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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