| Nate Newman Ph D Bcd Lcsw Pc | |
|
4055 Thousand Oaks Blvd Suite 215 Westlake Village CA 91362-3600 | |
| (818) 596-2069 | |
| (818) 225-9755 |
| Full Name | Nate Newman Ph D Bcd Lcsw Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4055 Thousand Oaks Blvd, Westlake Village, California |
| Authorized Official Name and Position | Nate Newman (PRESIDENT) |
| Authorized Official Contact | 8185962069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nate Newman Ph D Bcd Lcsw Pc 4055 Thousand Oaks Blvd Suite 215 Westlake Village CA 91362-3600 Ph: (818) 596-2069 | Nate Newman Ph D Bcd Lcsw Pc 4055 Thousand Oaks Blvd Suite 215 Westlake Village CA 91362-3600 Ph: (818) 596-2069 |
| NPI Number | 1225271240 |
|---|---|
| Provider Enumeration Date | 04/07/2009 |
| Last Update Date | 04/22/2010 |
| Medicare PECOS PAC ID | 2264569185 |
|---|---|
| Medicare Enrollment ID | O20100427000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225271240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS10217 (California) | Primary |
| Provider Name | Nate Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558359331 PECOS PAC ID: 0143243139 Enrollment ID: I20060104001041 |
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