MEDICARE: ELIZABETH NEWSOM 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	12281-C	AR
2	1041C0700X	Clinical Social Worker	SW20726	FL
3	1041C0700X	Clinical Social Worker	149.024966	IL
4	1041C0700X	Clinical Social Worker	52352	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12281-C	OTHER	AR	LCSW
2	SW20726	OTHER	FL	LCSW
3	149.024966	OTHER	IL	LCSW
4	52352	OTHER	TX	LCSW-S

General Provider Information

NPI Number	:	1558628834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH NEWSOM LCSW

Provider Business Mailing Address
First Line	:	2800 REGAL RD STE 102
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-6314
Country	:	US
Telephone Number	:	972-696-9359
Fax Number	:	844-828-3612

Provider Business Practice Location Address
First Line	:	2800 REGAL RD STE 102
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-6314
Country	:	US
Telephone Number	:	972-696-9539
Fax Number	:

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

Provider Enumeration Date	:	04/11/2012
Last Update Date	:	04/10/2026

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Directions to “ ELIZABETH NEWSOM LCSW” Practice Location

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