Provider Demographics
NPI:1063768695
Name:NEWMAN, SHARON YVONNE (LCSW, LAC)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:YVONNE
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12114 WARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-7606
Mailing Address - Country:US
Mailing Address - Phone:225-284-6026
Mailing Address - Fax:
Practice Address - Street 1:8556 JEFFERSON HWY
Practice Address - Street 2:SUITE B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-2230
Practice Address - Country:US
Practice Address - Phone:225-284-8611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA#764101YA0400X
LA#68681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)