Provider Demographics
NPI:1902989031
Name:NEWMAN, KAY P (LISW-CP)
Entity Type:Individual
Prefix:MS
First Name:KAY
Middle Name:P
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 SAM RITTENBERG BLVD.
Mailing Address - Street 2:SUITE 251
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29401
Mailing Address - Country:US
Mailing Address - Phone:843-766-8620
Mailing Address - Fax:843-766-3351
Practice Address - Street 1:1180 SAM RITTENBERG BLVD
Practice Address - Street 2:SUITE 251
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3382
Practice Address - Country:US
Practice Address - Phone:843-766-8620
Practice Address - Fax:843-766-3351
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0062121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical