| Susan K Newman Lcsw Llc | |
|
842 N New Ballas Ct 404 Saint Louis MO 63141-7151 | |
| (314) 378-0312 | |
| Not Available |
| Full Name | Susan K Newman Lcsw Llc |
|---|---|
| Speciality | Counselor |
| Location | 842 N New Ballas Ct, Saint Louis, Missouri |
| Authorized Official Name and Position | Susan K Newman (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3143780312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan K Newman Lcsw Llc Po Box 410470 Saint Louis MO 63141-0470 Ph: (314) 378-0312 | Susan K Newman Lcsw Llc 842 N New Ballas Ct 404 Saint Louis MO 63141-7151 Ph: (314) 378-0312 |
| NPI Number | 1063951465 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 02/17/2017 |
| Medicare PECOS PAC ID | 8325322787 |
|---|---|
| Medicare Enrollment ID | O20170302000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063951465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 002175 (Missouri) | Primary |
| Provider Name | Susan K Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396149472 PECOS PAC ID: 7618293978 Enrollment ID: I20150303001899 |
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