Basic Information
| Provider Information | |||||||||
| NPI: | 1497924690 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NEWMAN-FREEMAN | ||||||||
| FirstName: | GABRIELE | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSW, LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 215 HIGHLAND AVE | ||||||||
| Address2: | SUITE C | ||||||||
| City: | HADDON TOWNSHIP | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081082634 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6096365604 | ||||||||
| FaxNumber: | 8564886222 | ||||||||
| Practice Location | |||||||||
| Address1: | 215 HIGHLAND AVE | ||||||||
| Address2: | SUITE C | ||||||||
| City: | HADDON TOWNSHIP | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081082634 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6096365604 | ||||||||
| FaxNumber: | 8564886222 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/21/2008 | ||||||||
| LastUpdateDate: | 04/23/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 44SC05293000 | NJ | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | CW015203 | PA | N | Behavioral Health & Social Service Providers | Social Worker | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 3526169000 | 01 | NJ | BLUE CROSS/BLUE SHIELD PPO | OTHER | 1699932897 | 01 | NJ | GROUP NPI FOR V. MARGARET NEWMAN THERAPEUTIC SERVICE LLC | OTHER |