Provider Demographics
NPI:1063004018
Name:NEWTON, BIANCA (LCSW)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1165 LONGLEAF DR NW
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8333
Mailing Address - Country:US
Mailing Address - Phone:910-922-5327
Mailing Address - Fax:
Practice Address - Street 1:1165 LONGLEAF DR NW
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8333
Practice Address - Country:US
Practice Address - Phone:910-922-5327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC221731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical