Provider Demographics
NPI:1689794216
Name:DIONNE-NEWELL, COLLEEN (MSW)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:
Last Name:DIONNE-NEWELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5219 W CLEARWATER AVE
Mailing Address - Street 2:SUITE 12A
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-1914
Mailing Address - Country:US
Mailing Address - Phone:509-374-4485
Mailing Address - Fax:509-547-3414
Practice Address - Street 1:5219 W CLEARWATER AVE
Practice Address - Street 2:SUITE 12A
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1914
Practice Address - Country:US
Practice Address - Phone:509-374-4485
Practice Address - Fax:509-547-3414
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00001432101YA0400X
WALW000078871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)