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NPI Code Detail

MEDICARE: REBECCA NEWMAN MSW

MEDICARE: REBECCA NEWMAN MSW
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
11041C0700XClinical Social Worker6801115180MI
21041C0700XClinical Social Worker6801104885MI

General Provider Information

NPI Number : 1326617234
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA NEWMAN MSW
Provider Business Mailing Address
First Line : 17458 144TH AVE
Second Line :
City : NUNICA
State : MI
Zip : 49448-9672
Country : US
Telephone Number : 231-725-5857
Fax Number :
Provider Business Practice Location Address
First Line : 3611 HENRY ST
Second Line :
City : NORTON SHORES
State : MI
Zip : 49441-4705
Country : US
Telephone Number : 231-900-3096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2021
Last Update Date : 03/15/2026

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