Provider Demographics
NPI:1821853391
Name:MCNEW, MARCIA LYNNE
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:LYNNE
Last Name:MCNEW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9521 PRAIRIE CT
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-9025
Mailing Address - Country:US
Mailing Address - Phone:616-307-2792
Mailing Address - Fax:
Practice Address - Street 1:7545 ASHWORTH RD STE 210
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5954
Practice Address - Country:US
Practice Address - Phone:515-854-3618
Practice Address - Fax:515-644-8225
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0873321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical