Provider Demographics
NPI:1093565079
Name:NEWMAN, NICOLE LEANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:LEANN
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9340 W BURGUNDY AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3407
Mailing Address - Country:US
Mailing Address - Phone:720-394-2628
Mailing Address - Fax:
Practice Address - Street 1:405 URBAN ST STE 215
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1236
Practice Address - Country:US
Practice Address - Phone:720-394-2628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099294611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical