Active NPI
David Benjamin Newman, LCSW
- Clinical Social Worker
- Rockledge, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW20951
- Practice address
- 220 Barton Blvd Unit C-14
Rockledge, FL 32955-2742 - Phone
- (321) 241-6800
- Fax
- (321) 241-6890
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00003727 | WA | |
| Mental Health Counselor | 101YM0800X | CG60892933 | WA | |
| Professional Counselor | 101YP2500X | SC61099484 | WA | |
| Clinical Social Worker | 1041C0700X | SW20951 | FL | Primary |
Addresses
Primary practice location
220 Barton Blvd Unit C-14
Rockledge, FL 32955-2742
Mailing address
PO Box 1137
Melbourne, FL 32902-1137
Phone (321) 952-9696
Other practice location 1
1600 E Olive St
Seattle, WA 98122-2735
Phone (206) 302-2527
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC61099484 | Other | WA | SOCIAL WORKER ASSOCIATE INDEPENDENT CLINICAL LICENSE |
| CG60892933 | Other | WA | AGENCY AFFILIATED COUNSELOR |
| CP00003727 | Other | WA | SUBSTANCE USE DISORDER PROFESSIONAL CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00003727 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| CG60892933 | WA | MD | Mental Health Counselor |
| SC61099484 | WA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound | Current | Accepting new patients | |
| Brevard Health Alliance Inc | Current | Accepting new patients | |
| Brevard Health Alliance, Inc. | Current | Accepting new patients | |
| Brevard Health Alliance Inc | Current | Accepting new patients |
Locations
2120 Sarno Rd
Melbourne, FL 32935
Phone (321) 952-9696
220 Barton Blvd
Unit C14
Rockledge, FL 32955
Phone (321) 639-5177
11000 Lake City Way NE
Seattle, WA 98125
Phone (206) 461-3614
1600 E Olive St
Seattle, WA 98122
Phone (206) 302-2800
6400 Southcenter Blvd
Tukwila, WA 98188
Phone (206) 444-3600
Interoperability endpoints
- david.newman@bha.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Melbourne, FL
- NPI 1013355726
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tukwila, WA
- NPI 1780774950
-
- Federally Qualified Health Center (FQHC)
- Rockledge, FL
- NPI 1134276074
-
- Community/Retail Pharmacy
- Melbourne, FL
- NPI 1508735150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1750504247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1137",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329021137",
"telephone_number": "321-952-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 BARTON BLVD UNIT C-14",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552742",
"telephone_number": "321-241-6800",
"fax_number": "321-241-6890"
}
],
"practiceLocations": [
{
"address_1": "1600 E Olive St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981222735",
"country_code": "US",
"telephone_number": "206-302-2527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWMAN",
"first_name": "DAVID",
"middle_name": "BENJAMIN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00003727",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60892933",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "SC61099484",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW20951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORKER ASSOCIATE INDEPENDENT CLINICAL LICENSE",
"identifier": "SC61099484",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY AFFILIATED COUNSELOR",
"identifier": "CG60892933",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBSTANCE USE DISORDER PROFESSIONAL CERTIFICATION",
"identifier": "CP00003727",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.