MEDICARE: MS. JENNIFER LOUISE NEWMAN L.C.S.W.

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	0904006186	VA

General Provider Information

NPI Number	:	1356458657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER LOUISE NEWMAN L.C.S.W.

Provider Business Mailing Address
First Line	:	3439 S STAFFORD ST
Second Line	:	UNIT A-1
City	:	ARLINGTON
State	:	VA
Zip	:	22206-1935
Country	:	US
Telephone Number	:	703-845-0140
Fax Number	:	703-704-6687

Provider Business Practice Location Address
First Line	:	8350 RICHMOND HWY
Second Line	:	SUITE 415
City	:	ALEXANDRIA
State	:	VA
Zip	:	22309-2300
Country	:	US
Telephone Number	:	703-704-6345
Fax Number	:	703-704-6687

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	07/08/2007

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