# NEWPORT COUNSELING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992909337
- **Authorized official:** ELISE WOODCOCK (OFFICE MANAGER)
- **Authorized official phone:** (717) 275-3570

## Contact information

- **Practice address:** 28 WEST SHORTCUT ROAD, NEWPORT, PA 17074-8721
- **Practice address phone:** (717) 567-3524
- **Practice address fax:** (717) 567-3581
- **Mailing address:** 28 WEST SHORTCUT RD, NEWPORT, PA 17074-8721
- **Mailing address phone:** (717) 567-3524
- **Mailing address fax:** (717) 567-3581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | PA | Yes |
| 1041C0700X | Clinical Social Worker | CWO15633 | PA | — |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 02/08/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1019436680001 | — | PA |
| 05 | — | 102090458 | — | PA |