Healthcare Provider Details

I. General information

NPI: 1497924690
Provider Name (Legal Business Name): GABRIELE D NEWMAN-FREEMAN MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 04/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 HIGHLAND AVE SUITE C
HADDON TOWNSHIP NJ
08108-2634
US

IV. Provider business mailing address

215 HIGHLAND AVE SUITE C
HADDON TOWNSHIP NJ
08108-2634
US

V. Phone/Fax

Practice location:
  • Phone: 609-636-5604
  • Fax: 856-488-6222
Mailing address:
  • Phone: 609-636-5604
  • Fax: 856-488-6222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05293000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW015203
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: