MEDICARE: NEW BEGINNINGS THERAPY, INC.

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	SW 7330	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184855322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS THERAPY, INC.

Provider Business Mailing Address
First Line	:	406 PARKER IVEY DR
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-6513
Country	:	US
Telephone Number	:	561-602-4114
Fax Number	:	561-455-9988

Provider Business Practice Location Address
First Line	:	1615 S CONGRESS AVE STE 103
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6326
Country	:	US
Telephone Number	:	561-917-9997
Fax Number	:	561-455-9988

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	LORI DAWN BLACKMAN
Credential	:	L.C.S.W.
Telephone Number	:	561-602-4114

Provider Enumeration Date	:	08/05/2009
Last Update Date	:	06/24/2025

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