Individual provider Active NPI

Jacqueline Louise Newton, MSW, LCSW

  • Clinical Social Worker
  • Hillsborough, NC
National Provider Identifier
1871881847
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008151 Issued in NC
Practice address
100 N Churton St Ste 204&206
Hillsborough, NC 27278-2534
Phone
(910) 319-9335
Fax
(984) 224-7141
NPI assigned
Jul 12, 2011
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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 C008151 NC Primary

Addresses

Primary practice location

100 N Churton St Ste 204&206
Hillsborough, NC 27278-2534

Mailing address

100 N Churton St Ste 204&206
Hillsborough, NC 27278-2534
Phone (910) 319-9335

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C008151NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Obsidian Care Collective PLLC Clinical Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1871881847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CHURTON ST STE 204&206",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782534",
            "telephone_number": "910-319-9335",
            "fax_number": "984-225-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CHURTON ST STE 204&206",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782534",
            "telephone_number": "910-319-9335",
            "fax_number": "984-224-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "JACQUELINE",
        "middle_name": "LOUISE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.