Healthcare Provider Details

I. General information

NPI: 1578243929
Provider Name (Legal Business Name): EMMA WARD NEWMANN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2023
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 VAUGHAN ST
PORTLAND ME
04102-3204
US

IV. Provider business mailing address

3 SHERBROOKE ST APT 2
PORTLAND ME
04101-4339
US

V. Phone/Fax

Practice location:
  • Phone: 207-662-2221
  • Fax: 207-810-2367
Mailing address:
  • Phone: 215-205-8969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC25146
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: