Catherine E Newton, Lcsw, Llc | |
6565 Fourth Section Rd Ste 700 Brockport NY 14420-2415 | |
(585) 637-6740 | |
(585) 637-8096 |
Full Name | Catherine E Newton, Lcsw, Llc |
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Speciality | Clinic/Center |
Location | 6565 Fourth Section Rd Ste 700, Brockport, New York |
Authorized Official Name and Position | Catherine Elizabeth Newton (LICENSED, CERTIFIED SOCIAL WORKER) |
Authorized Official Contact | 5858802328 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Catherine E Newton, Lcsw, Llc 6565 Fourth Section Rd Ste 700 Brockport NY 14420-2415 Ph: (585) 637-6740 | Catherine E Newton, Lcsw, Llc 6565 Fourth Section Rd Ste 700 Brockport NY 14420-2415 Ph: (585) 637-6740 |
NPI Number | 1386889368 |
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Provider Enumeration Date | 12/05/2008 |
Last Update Date | 01/14/2016 |
Medicare PECOS PAC ID | 5698837961 |
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Medicare Enrollment ID | O20181130002054 |
Identifier | Type | State | Issuer |
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1386889368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | R047239 (New York) | Primary |
Provider Name | Catherine E Newton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720135031 PECOS PAC ID: 3274518360 Enrollment ID: I20181130002138 |
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