Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Levine, LCSW

Individual provider Clinical Social Worker · NPI 1194895532

Jacqueline Levine, LCSW is a Clinical Social Worker in Bronx, New York. Qualified in 1990, 36 years ago. Practices with Puerto Rican Family Institute, Inc, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4123 3rd Ave
Bronx, NY 10457-6222
Phone: (718) 299-3045
Fax: (718) 716-2604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 048211 (NY)

Record details

NPI number1194895532
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Puerto Rican Family Institute, Inc. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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