Healthcare Provider Details

I. General information

NPI: 1275181984
Provider Name (Legal Business Name): KAMEY M NEWMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2019
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4131 SPICEWOOD SPRINGS RD STE J1
AUSTIN TX
78759-8600
US

IV. Provider business mailing address

101 FEU FOLLET RD STE 100
LAFAYETTE LA
70508-4234
US

V. Phone/Fax

Practice location:
  • Phone: 713-686-9194
  • Fax: 713-686-9413
Mailing address:
  • Phone: 713-686-9194
  • Fax: 713-686-9413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number62577
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: