Provider Demographics
NPI:1720135031
Name:NEWTON, CATHERINE E (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:E
Last Name:NEWTON
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 1:408 WASHINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-6140
Mailing Address - Country:US
Mailing Address - Phone:585-880-2328
Mailing Address - Fax:417-255-8799
Practice Address - Street 1:408 WASHINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-6140
Practice Address - Country:US
Practice Address - Phone:585-880-2328
Practice Address - Fax:417-255-8799
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR047239-1101YM0800X
NYR0472391041C0700X
MO20150218511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6212507OtherINDEPENDENT HEALTH
NY121931FKOtherPREFERRED CARE
NY7912481OtherAETNA
NYP010047239OtherMONROE PLAN
NYP010047239OtherEXCELLUS
NYP010047239OtherEXCELLUS