Provider Demographics
NPI:1306035233
Name:NEWMAN, JENNIFER KATHERINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:KATHERINE
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 1:77 ELMWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-2203
Mailing Address - Country:US
Mailing Address - Phone:973-857-2360
Mailing Address - Fax:
Practice Address - Street 1:77 ELMWOOD RD
Practice Address - Street 2:
Practice Address - City:CEDAR GROVE
Practice Address - State:NJ
Practice Address - Zip Code:07009-2203
Practice Address - Country:US
Practice Address - Phone:973-857-2360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053412001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical