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Provider Information for 1265590038


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SARA JANE NEWMAN LCSW


Sex: Female

NPI: 1265590038
Last Updated: 2015-11-11
Certification Date:

Details

NameValue
NPI1265590038
Enumeration Date2006-12-05
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 8018 W CAPITOL DR
UNIT 6
MILWAUKEE, WI 53222-1906
United States

Phone: 414-559-8864 | Fax:
 
Primary Practice Address 8018 W CAPITOL DR
MILWAUKEE, WI 53222-1906
United States

Phone: 414-559-8864 | Fax:414-433-1919
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDWI43567800
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalWI8016-123