Provider Demographics
NPI:1497924690
Name:NEWMAN-FREEMAN, GABRIELE D (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:GABRIELE
Middle Name:D
Last Name:NEWMAN-FREEMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 HIGHLAND AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:HADDON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-2634
Mailing Address - Country:US
Mailing Address - Phone:609-636-5604
Mailing Address - Fax:856-488-6222
Practice Address - Street 1:215 HIGHLAND AVE
Practice Address - Street 2:SUITE C
Practice Address - City:HADDON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08108-2634
Practice Address - Country:US
Practice Address - Phone:609-636-5604
Practice Address - Fax:856-488-6222
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052930001041C0700X
PACW0152031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3526169000OtherBLUE CROSS/BLUE SHIELD PPO
NJ1699932897OtherGROUP NPI FOR V. MARGARET NEWMAN THERAPEUTIC SERVICE LLC