Provider Demographics
NPI:1396568796
Name:NEWTON, SOPHIE ELIZABETH (CSWA, LSWAIC)
Entity type:Individual
Prefix:
First Name:SOPHIE
Middle Name:ELIZABETH
Last Name:NEWTON
Suffix:
Gender:F
Credentials:CSWA, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2719 NE 94TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-9589
Mailing Address - Country:US
Mailing Address - Phone:360-334-0521
Mailing Address - Fax:
Practice Address - Street 1:2719 NE 94TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-9589
Practice Address - Country:US
Practice Address - Phone:360-334-0521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2025-03-03
Deactivation Date:2025-02-14
Deactivation Code:
Reactivation Date:2025-03-03
Provider Licenses
StateLicense IDTaxonomies
ORA117421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical