MEDICARE: MR. STEVEN P NEWELL LCSW

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	S00677	TX

General Provider Information

NPI Number	:	1245244334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN P NEWELL LCSW

Provider Business Mailing Address
First Line	:	3031 W IH 10
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-5159
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 BURNET ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78202-2517
Country	:	US
Telephone Number	:	210-731-1300
Fax Number	:	210-738-8025

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/08/2007

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