Provider Demographics
NPI:1386889368
Name:CATHERINE E NEWTON, LCSW, LLC
Entity type:Organization
Organization Name:CATHERINE E NEWTON, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED, CERTIFIED SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWR
Authorized Official - Phone:585-880-2328
Mailing Address - Street 1:6565 FOURTH SECTION RD STE 700
Mailing Address - Street 2:
Mailing Address - City:BROCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14420-2415
Mailing Address - Country:US
Mailing Address - Phone:585-637-6740
Mailing Address - Fax:585-637-8096
Practice Address - Street 1:6565 FOURTH SECTION RD STE 700
Practice Address - Street 2:
Practice Address - City:BROCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14420-2415
Practice Address - Country:US
Practice Address - Phone:585-637-6740
Practice Address - Fax:585-637-8096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR047239261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYIA0505Medicare PIN