Individual ProviderLeora LevineSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4794 S Eastern Ave, Las Vegas, NV 89119-6145(702) 732-0304PECOS EnrollmentBased on the most recent information from CMS, provider Leora Levine does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1801133392Provider TypeIndividualFull NameLevine, LeoraCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date1/3/2013Last Updated1/3/2013Contact InformationPractice LocationPractice Address4794 S Eastern Ave, Las Vegas, NV 89119-6145Phone(702) 732-0304FaxUnlisted FaxMailing LocationMailing Address4794 S Eastern Ave, Las Vegas, NV 89119-6145Phone(702) 732-0304FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6383-CNevada