Provider Demographics
NPI:1508005091
Name:NEWBERG, MAUREEN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:NEWBERG
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 CUTTY SARK WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-4302
Mailing Address - Country:US
Mailing Address - Phone:301-873-9556
Mailing Address - Fax:301-947-0028
Practice Address - Street 1:7401 CUTTY SARK WAY
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20882-4302
Practice Address - Country:US
Practice Address - Phone:301-873-9556
Practice Address - Fax:301-947-0028
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD081531041C0700X
VA09040026631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical