Provider Demographics
NPI:1871881847
Name:NEWTON, JACQUELINE LOUISE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:LOUISE
Last Name:NEWTON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N CHURTON ST STE 204&206
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-2534
Mailing Address - Country:US
Mailing Address - Phone:910-319-9335
Mailing Address - Fax:984-225-7141
Practice Address - Street 1:100 N CHURTON ST STE 204&206
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2534
Practice Address - Country:US
Practice Address - Phone:910-319-9335
Practice Address - Fax:984-224-7141
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0081511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical