| Newport Counseling Center, Llc | |
|
28 West Shortcut Road Newport PA 17074-8721 | |
| (717) 567-3524 | |
| (717) 567-3581 |
| Full Name | Newport Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 28 West Shortcut Road, Newport, Pennsylvania |
| Authorized Official Name and Position | Elise Woodcock (OFFICE MANAGER) |
| Authorized Official Contact | 7172753570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Counseling Center, Llc 28 West Shortcut Rd Newport PA 17074-8721 Ph: (717) 567-3524 | Newport Counseling Center, Llc 28 West Shortcut Road Newport PA 17074-8721 Ph: (717) 567-3524 |
| NPI Number | 1992909337 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 02/08/2016 |
| Medicare PECOS PAC ID | 6608930920 |
|---|---|
| Medicare Enrollment ID | O20090202000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992909337 | NPI | - | NPPES |
| 102090458 | Medicaid | PA | |
| 1019436680001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (Pennsylvania) | Primary |
| 1041C0700X | Social Worker - Clinical | CWO15633 (Pennsylvania) | Secondary |
| Provider Name | Cheryl Ann Woodcock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629114111 PECOS PAC ID: 9133224348 Enrollment ID: I20070417000497 |
| Provider Name | Melissa A Hixson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104963263 PECOS PAC ID: 2567526882 Enrollment ID: I20090202000433 |
| Provider Name | Lori R Amey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477995058 PECOS PAC ID: 7416208210 Enrollment ID: I20180918001551 |
| Provider Name | Samuel Franklin Lowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609232586 PECOS PAC ID: 3072864818 Enrollment ID: I20180918003408 |
| Provider Name | Julie Martzall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831636745 PECOS PAC ID: 4284046665 Enrollment ID: I20201208002287 |