MEDICARE: ANGELA NEWBERN 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	171M00000X	Case Manager/Care Coordinator	5014	ND
2	1041C0700X	Clinical Social Worker	67507	TX

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	:	1548653751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA NEWBERN LCSW

Provider Business Mailing Address
First Line	:	2147 PARK SPRINGS CIR APT 3115
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6840
Country	:	US
Telephone Number	:	817-880-3569
Fax Number	:

Provider Business Practice Location Address
First Line	:	2147 PARK SPRINGS CIR APT 3115
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6840
Country	:	US
Telephone Number	:	817-880-3569
Fax Number	:

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

Provider Enumeration Date	:	03/12/2015
Last Update Date	:	01/11/2023

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