Provider Demographics
NPI:1710264346
Name:NEWTON, KIVA S (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:KIVA
Middle Name:S
Last Name:NEWTON
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MS
Other - First Name:KIVA
Other - Middle Name:S
Other - Last Name:WILKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-R
Mailing Address - Street 1:8 OLD PINE DR
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-2010
Mailing Address - Country:US
Mailing Address - Phone:917-446-3334
Mailing Address - Fax:
Practice Address - Street 1:8 OLD PINE DR
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-2010
Practice Address - Country:US
Practice Address - Phone:917-446-3334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR070705-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical