Provider Demographics
NPI:1972280493
Name:NEWMAN, JENNIFER (MSW, LCSWA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:PERRY NEWMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSWA
Mailing Address - Street 1:905 US HIGHWAY 321 NW STE 262
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-4745
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4823 WALNUT GROVE ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-3923
Practice Address - Country:US
Practice Address - Phone:704-625-6707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0191491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical