Provider Demographics
NPI:1992852438
Name:NEWHOOK, NANCY M (LCSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:M
Last Name:NEWHOOK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:MEDINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3333 S BANNOCK ST STE 435
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2433
Mailing Address - Country:US
Mailing Address - Phone:720-907-0420
Mailing Address - Fax:561-844-7540
Practice Address - Street 1:3333 S BANNOCK ST STE 435
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2433
Practice Address - Country:US
Practice Address - Phone:720-907-0420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL45581041C0700X
COCSW.099246751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7668295 00Medicaid