Individual provider Active NPI

David Benjamin Newman, LCSW

  • Clinical Social Worker
  • Rockledge, FL
National Provider Identifier
1750504247
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20951 Issued in FL
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

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SC61099484OtherWASOCIAL WORKER ASSOCIATE INDEPENDENT CLINICAL LICENSE
CG60892933OtherWAAGENCY AFFILIATED COUNSELOR
CP00003727OtherWASUBSTANCE USE DISORDER PROFESSIONAL CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231117000310 FL Practitioner - Clinical Social Worker 7618324369 Reassigns benefits to 1 organization
I20240220001111 WA Practitioner - Clinical Social Worker 7618324369 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP00003727WAMDAddiction (Substance Use Disorder) Counselor
CG60892933WAMDMental Health Counselor
SC61099484WAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sound CurrentSince Jan 30, 2024 Accepting new patients
Brevard Health Alliance Inc Current Accepting new patients
Brevard Health Alliance, Inc. CurrentSince Aug 11, 2023 Accepting new patients
Brevard Health Alliance Inc CurrentSince Aug 11, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.