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NPI Code Detail

MEDICARE: KATELYN NEWMAN LCSW

MEDICARE: KATELYN 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
1225C00000XRehabilitation Counselor
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1427574227
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN NEWMAN LCSW
Provider Business Mailing Address
First Line : 10151 DORRELL LN UNIT 2005
Second Line :
City : LAS VEGAS
State : NV
Zip : 89166-1037
Country : US
Telephone Number : 702-556-7291
Fax Number :
Provider Business Practice Location Address
First Line : 4250 E BONANZA RD STE 17
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-6105
Country : US
Telephone Number : 702-331-4277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2017
Last Update Date : 04/11/2022

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Directions to “ KATELYN NEWMAN LCSW” Practice Location

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