Provider Demographics
NPI:1346481173
Name:ANNE SCOTT NEWHOUSE,LCSW,LLC
Entity Type:Organization
Organization Name:ANNE SCOTT NEWHOUSE,LCSW,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:NEWHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-721-9325
Mailing Address - Street 1:157 W 79TH ST
Mailing Address - Street 2:APT. 7D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6413
Mailing Address - Country:US
Mailing Address - Phone:212-721-9325
Mailing Address - Fax:
Practice Address - Street 1:157 W 79TH ST
Practice Address - Street 2:APT. 7D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6413
Practice Address - Country:US
Practice Address - Phone:212-721-9325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR057285-1310500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1689825291OtherMEDICARE NPI INDIVIDUAL TYPE 1