Provider Demographics
NPI:1760795710
Name:NEWHARD, BRAD (MSW)
Entity Type:Individual
Prefix:
First Name:BRAD
Middle Name:
Last Name:NEWHARD
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 HAZELWOOD RD
Mailing Address - Street 2:
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071-6139
Mailing Address - Country:US
Mailing Address - Phone:484-238-6935
Mailing Address - Fax:610-379-9307
Practice Address - Street 1:413 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:WEISSPORT
Practice Address - State:PA
Practice Address - Zip Code:18235-2213
Practice Address - Country:US
Practice Address - Phone:610-379-9304
Practice Address - Fax:610-379-9307
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW124154104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker