MEDICARE: EMMA NEWMAN 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	20024	FL

General Provider Information

NPI Number	:	1881442705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA NEWMAN LCSW

Provider Business Mailing Address
First Line	:	8654 SPRING VALLEY DR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-2405
Country	:	US
Telephone Number	:	201-663-5711
Fax Number	:

Provider Business Practice Location Address
First Line	:	85 SE 4TH AVE STE 104
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-4574
Country	:	US
Telephone Number	:	201-663-5711
Fax Number	:

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

Provider Enumeration Date	:	05/07/2024
Last Update Date	:	05/07/2024

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