Individual provider Active NPI

Jennifer Rebecca Newman, LICSW

  • Professional Counselor
  • Charles Town, WV
National Provider Identifier
1841651569
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
DP00943753 Issued in WV
Practice address
224 E Liberty St
Charles Town, WV 25414-1824
Phone
(304) 725-7176
NPI assigned
Mar 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X DP00943753 WV Primary

Addresses

Primary practice location

224 E Liberty St
Charles Town, WV 25414-1824

Mailing address

224 E Liberty St
Charles Town, WV 25414-1824
Phone (304) 725-7176

Other practice location 1

442 Mount Hammond Ln
Charles Town, WV 25414-4312
Phone (719) 650-8991

Other practice location 2

312 E Market St Ste F
Leesburg, VA 20176-4173
Phone (304) 725-7176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250212000111 WV Practitioner - Clinical Social Worker 4486184041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Two Rivers Counseling LLCGroup PAC ID 1355871989, 4 clinicians

Practice addresses (Care Compare)

224 E Liberty St
Charles Town, WV 25414-1824
Phone (304) 725-7176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00943753WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Counseling LLC CurrentSince Dec 10, 2024 Accepting new patients
Virginia Oak Counseling, LLC PastSince Feb 1, 2019 Accepting new patients
Jennifer Newman, Licsw LLC PastSince Dec 15, 2024 Accepting new patients

Locations

312 E Market St
Ste F
Leesburg, VA 20176
Phone (304) 725-7176

224 E Liberty St
Charles Town, WV 25414
Phone (304) 725-7176

Organizations & group practices 3

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": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1841651569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E LIBERTY ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141824",
            "telephone_number": "304-725-7176",
            "fax_number": "304-724-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E LIBERTY ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141824",
            "telephone_number": "304-725-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "442 Mount Hammond Ln",
            "address_purpose": "LOCATION",
            "city": "Charles Town",
            "state": "WV",
            "postal_code": "254144312",
            "country_code": "US",
            "telephone_number": "719-650-8991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 E Market St Ste F",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201764173",
            "country_code": "US",
            "telephone_number": "304-725-7176",
            "fax_number": "304-724-1782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "DP00943753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles Town, WV

Sources for this page

Verify at the official NPI Registry.