Healthcare Provider Details

I. General information

NPI: 1841072394
Provider Name (Legal Business Name): HANNAH N MCNEW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2023
Last Update Date: 05/01/2024
Certification Date: 10/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CLINCH RIVER HEALTH SERVICES 17285 VETRANS MEMORIAL HWY
DUNGANNON VA
24245
US

IV. Provider business mailing address

17285 VETRANS MEMORIAL HWY
DUNGANNON VA
24245
US

V. Phone/Fax

Practice location:
  • Phone: 276-467-2201
  • Fax: 276-467-2673
Mailing address:
  • Phone: 276-467-2201
  • Fax: 276-467-2673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0906011990
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: