Provider Demographics
NPI:1598832073
Name:NEWMAN, ANNE N (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:N
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 1:111 N CENTRAL AVENUE
Mailing Address - Street 2:SUITE 275
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530
Mailing Address - Country:US
Mailing Address - Phone:914-980-7445
Mailing Address - Fax:914-437-7990
Practice Address - Street 1:280 N CENTRAL AVE
Practice Address - Street 2:SUITE 125
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1832
Practice Address - Country:US
Practice Address - Phone:914-980-7445
Practice Address - Fax:914-993-9678
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2008-02-14
Deactivation Date:2006-12-29
Deactivation Code:
Reactivation Date:2008-02-14
Provider Licenses
StateLicense IDTaxonomies
NYR013641-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN00Y31Medicare ID - Type UnspecifiedMENTAL HEALTH PROVIDER ID