Provider Demographics
NPI:1154434934
Name:NEWTON, CAROL HELEN (LISW)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:HELEN
Last Name:NEWTON
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3200 CARLISLE BLVD NE STE 201
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-1697
Mailing Address - Country:US
Mailing Address - Phone:505-238-7128
Mailing Address - Fax:505-256-3240
Practice Address - Street 1:3200 CARLISLE BLVD NE STE 201
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-1697
Practice Address - Country:US
Practice Address - Phone:505-238-7128
Practice Address - Fax:505-256-3240
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-047291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM27704513Medicaid
NM201044865OtherPRESBYTERIAN HEALTH CARE
NM600795776OtherMAGELLAN
NMNM100824OtherVALUE OPTIONS