MS. DENISE LOUISE NEWMAN (NPI# 1457491581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457491581 |
| Entity Type | Individual |
| Full Name | MS. DENISE LOUISE NEWMAN |
| Credential | CADC II |
| Practice Address |
15230 Lakeshore Drive Suite 102 Clearlake CA 95422 |
| Practice Telephone | 7079955844 |
| Practice Fax Number | 7079954343 |
| Mailing Telephone | 7079955844 |
| Mailing Fax Number | 7079954343 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
171137011 | CA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AII058800618 | CA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1711370II | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538312772 | Denise Kay Newman | Massage Therapist | 22819 126th Pl Se, Kent, WA 98031-3665 | 2008-10-31 |
| 1104080134 | Denise Laurel Newman | Psychologist | 4616 S Carrollton Ave, New Orleans, LA 70119-6025 | 2008-07-18 |
| 1609940071 | Denise M. Newman | Marriage & Family Therapist | 26041 Cape Dr, Suite 250e, Laguna Niguel, CA 92677-1254 | 2006-11-20 |
| 1720061872 | Denise Ellen Newman | Psychologist | 978 State Route 209, Millersburg, PA 17061-8002 | 2005-11-22 |
| 1568695112 | Denise Gay Newman | Licensed Practical Nurse | 281 Sawyer Dr Ste 100, Durango, CO 81303-3409 | 2009-08-31 |
| Street Address |
15230 LAKESHORE DRIVE SUITE 102 |
| City | CLEARLAKE |
| State | CA |
| Zip Code | 95422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
| 1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 1164655247 | Hector Lara | Counselor | 14130 Lakeshore Dr., Clearlake, CA 95422 | 2009-08-24 |
| 1518197607 | Vishal V Desai | Pharmacist | 15025, Olympic Drive, Clearlake, CA 95422 | 2009-07-23 |
| Find all providers in zip 95422 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1356599690 | Daniel Michael Wheeler | Counselor | 6558 Old Hwy 53, Clearlake, CA 95422-6885 | 2008-08-28 |
| 1982852224 | Desiree Ann Askew | Counselor | 6558 Old Highway 53, Clearlake, CA 95422-6558 | 2008-08-28 |
| 1154501047 | Jay El Tillman | Counselor | 6885 Old Hwy 53, Clearlake, CA 95422 | 2007-11-07 |
| 1760684914 | Steven C Keech | Counselor | 2000b South Center Drive, Clearlake, CA 95422 | 2007-06-01 |
| 1205962669 | Carol Louine Mansfield | Counselor | 14709 Lakeshore Drive, Clearlake, CA 95422 | 2007-02-27 |
| 1417090069 | Kathleen Elizabeth Doherty | Counselor | 6840 S Center Dr, Clearlake, CA 95422-8134 | 2007-02-14 |
| 1699813469 | Rose Marie Weaver | Counselor | 15850 A Dam Road, Clearlake, CA 95422 | 2007-02-02 |
| 1336290485 | Michael Andrade | Counselor | 7000-b South Center Dr, Clearlake, CA 95422 | 2007-01-16 |
| 1851457022 | Raul Wybo-gilbert | Counselor | 7000 S Center Dr, Clearlake, CA 95422-8131 | 2006-12-29 |
| Find all providers in CLEARLAKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.