Jacqueline Reine Newsome, LMSW
Social Worker, Clinical in East Lansing, MI. Individual provider (NPI-1).
NPI number1245617455
StatusActive
Last updated in NPPESFeb 16, 2021
Details
- NPI
- 1245617455
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Reine Newsome
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2015
- Certification date
- Feb 16, 2021
- Last updated
- Feb 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801098297 | MI | Yes |
Practice location
3496 E Lake Lansing Rd Ste 100East Lansing, MI 48823-6222
Phone 989-323-7916
Mailing address
Po Box 10Mason, MI 48854-0010
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