Individual provider Active NPI

Stephanie Kline Newberg, L.C.S.W.

  • Clinical Social Worker
  • Wynnewood, PA
National Provider Identifier
1467660415
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW13446 Issued in PA
Practice address
300 E Lancaster Ave
Suite 211
Wynnewood, PA 19096-2139
Phone
(610) 642-2648
NPI assigned
May 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW13446 PA Primary

Addresses

Primary practice location

300 E Lancaster Ave
Suite 211
Wynnewood, PA 19096-2139

Mailing address

805 Edwin LN
Bryn Mawr, PA 19010-1810
Phone (610) 642-2648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW13446PAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467660415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 EDWIN LN",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101810",
            "telephone_number": "610-642-2648",
            "fax_number": "610-642-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LANCASTER AVE",
            "address_2": "SUITE 211",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962139",
            "telephone_number": "610-642-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERG",
        "first_name": "STEPHANIE",
        "middle_name": "KLINE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW13446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.