Provider Demographics
NPI:1548568868
Name:NEWMAN, MELISSA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2558 EILEEN CT
Mailing Address - Street 2:
Mailing Address - City:N BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1906
Mailing Address - Country:US
Mailing Address - Phone:516-721-5112
Mailing Address - Fax:
Practice Address - Street 1:45TH AVE AT PARSONS BLVD
Practice Address - Street 2:FLUSHING HOSPITAL
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-670-4450
Practice Address - Fax:718-670-3162
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0700331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical