Provider Demographics
NPI:1497384812
Name:NEWFIELD, NEAL ALLEN
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:ALLEN
Last Name:NEWFIELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1063 MAPLE DR # 1
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-0387
Mailing Address - Country:US
Mailing Address - Phone:304-599-5751
Mailing Address - Fax:
Practice Address - Street 1:1063 MAPLE DR # 1
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-0387
Practice Address - Country:US
Practice Address - Phone:304-599-5751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP008517961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical