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General NPI Number Information
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NPI Number | 1902109648
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Entity Type | Individual
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Provider Name | ANGELA NEWBURN LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/20/2010
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 2003 KOOTENAI HEALTH WAY ATTN: SOCIAL SERVICES
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6051
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Country | US
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Telephone | 208-625-5000
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Fax | 208-620-3499
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Provider Business Mailing Address
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Address Line | 2003 KOOTENAI HEALTH WAY ATTN:SOCIAL SERVICES
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6051
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Country | US
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Telephone | 208-625-5000
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Fax | 208-620-3449
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-35674
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMSW-30420
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License Number State | ID
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