Provider Demographics
NPI:1356458657
Name:NEWMAN, JENNIFER LOUISE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LOUISE
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3439 S STAFFORD ST
Mailing Address - Street 2:UNIT A-1
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-1935
Mailing Address - Country:US
Mailing Address - Phone:703-845-0140
Mailing Address - Fax:703-704-6687
Practice Address - Street 1:8350 RICHMOND HWY
Practice Address - Street 2:SUITE 415
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2300
Practice Address - Country:US
Practice Address - Phone:703-704-6345
Practice Address - Fax:703-704-6687
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040061861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical