Newcomer, Jeanne Patricia
Newcomer, Jeanne Patricia is an sole proprietor health care provider with primary practice located at 15447 Anacapa Rd Suite 200, Victorville CA 92392-2481. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Newcomer, Jeanne Patricia can be contacted via phone (760) 245-9446.Contact Information
Primary practice address
15447 Anacapa Rd Suite 200
Victorville CA 92392-2481
Phone: (760) 245-9446
Fax: (760) 951-8986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS6200 | California |
Profile Details
| NPI number | 1629090592 |
|---|---|
| LBN Legal business name | Newcomer, Jeanne Patricia |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629090592 | NPPES |
| California | MEDICAID | 6681536 |
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