Provider Demographics
NPI:1588734867
Name:NEWMAN, MICHELLE FLEMING (LISW)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:FLEMING
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 W CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-4243
Mailing Address - Country:US
Mailing Address - Phone:803-775-2801
Mailing Address - Fax:803-775-3522
Practice Address - Street 1:246 W CALHOUN ST
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-4243
Practice Address - Country:US
Practice Address - Phone:803-775-2801
Practice Address - Fax:803-775-3522
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC55441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical