MEDICARE: FAWNDA NEWTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CSW.09931979	CO

General Provider Information

NPI Number	:	1164121596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAWNDA NEWTON

Provider Business Mailing Address
First Line	:	3205 BELL MOUNTAIN DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-1846
Country	:	US
Telephone Number	:	719-371-2472
Fax Number	:

Provider Business Practice Location Address
First Line	:	3205 BELL MOUNTAIN DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-1846
Country	:	US
Telephone Number	:	719-371-2472
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2023
Last Update Date	:	08/01/2025

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Directions to “ FAWNDA NEWTON ” Practice Location

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