MEDICARE: SARA JANE NEWMAN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	8016-123	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265590038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA JANE NEWMAN LCSW

Provider Business Mailing Address
First Line	:	8018 W CAPITOL DR
Second Line	:	UNIT 6
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-1906
Country	:	US
Telephone Number	:	414-559-8864
Fax Number	:

Provider Business Practice Location Address
First Line	:	8018 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-1906
Country	:	US
Telephone Number	:	414-559-8864
Fax Number	:	414-433-1919

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	11/11/2015

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