Provider Demographics
NPI:1255403341
Name:NEWMAN, CAITILIN PATTERSON (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CAITILIN
Middle Name:PATTERSON
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8051
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-0051
Mailing Address - Country:US
Mailing Address - Phone:509-469-1903
Mailing Address - Fax:509-469-1903
Practice Address - Street 1:23 S WENATCHEE AVE STE 320
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2263
Practice Address - Country:US
Practice Address - Phone:509-469-1903
Practice Address - Fax:509-469-1903
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005914101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health