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NPI Code Detail

MEDICARE: MS. KATHERINE NEWBERRY LCSW

MEDICARE: MS. KATHERINE NEWBERRY 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
11041C0700XClinical Social Worker0985CAL

General Provider Information

NPI Number : 1881835791
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHERINE NEWBERRY LCSW
Provider Business Mailing Address
First Line : PO BOX 1090
Second Line :
City : MOUNT VERNON
State : AL
Zip : 36560-1090
Country : US
Telephone Number : 251-662-6700
Fax Number :
Provider Business Practice Location Address
First Line : 725 E COY SMITH HWY
Second Line :
City : MOUNT VERNON
State : AL
Zip : 36560-3322
Country : US
Telephone Number : 251-662-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2009
Last Update Date : 03/23/2009

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Directions to “ MS. KATHERINE NEWBERRY LCSW” Practice Location

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