Machanta Evette Newson, MSSW

Individual provider Active NPI Clinical Social Worker · Ovilla, TX

NPI 1902949688 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1902949688
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
62700 (TX)
Practice address
700 W Main St Ste 6
Ovilla, TX 75154-1629
Phone
(469) 808-9730
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Village Counseling & Wellness Social Worker Current
since Jan 19, 2020
Accepting new patients

Locations

700 W Main St
Ste 6
Ovilla, TX 75154
Phone (469) 808-9730

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 62700 TX Yes

Addresses

Primary practice location

700 W Main St Ste 6
Ovilla, TX 75154-1629

Mailing address

221 Jacob CT
Glenn Heights, TX 75154-3869
Phone (901) 550-0406

Other providers in Ovilla, TX

All providers in Ovilla, TX · Clinical Social Worker in Texas

Sources for this page

Verify at the official NPI Registry.