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MR. JEREMIAH JAMES NEWBOLD LCSW
NPI 1790010155
Social Worker - Clinical in Eagle River, AK

Active since October 02, 2009
17342 FLINTWOOD PL, EAGLE RIVER, AK 99577(907) 696-3339 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jeremiah James Newbold Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEREMIAH JAMES NEWBOLD LCSW (NPI 1790010155) is an individual clinical provider in Eagle River, Alaska, licensed in Alaska (CSW S 919) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1790010155
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JEREMIAH JAMES NEWBOLDCredential: LCSW
Location Address17342 FLINTWOOD PLEagle River, AK 99577-7025
Mailing AddressPo Box 671846Chugiak, AK 99567-1846 · (907) 229-0917
Phone(907) 696-3339
Sole ProprietorNo
Enumeration DateOctober 2, 2009
Last NPPES UpdateMay 26, 2021
NPPES CertifiedMay 26, 2021
✔ NPI 1790010155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AK · CSW S 919
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
17342 FLINTWOOD PL, Eagle River, AK 99577
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremiah Newbold's NPI number?

The NPI number for Jeremiah Newbold is 1790010155. It was assigned to this individual provider in the NPPES registry on October 2, 2009.

Where is Jeremiah Newbold located?

Jeremiah Newbold practices at 17342 Flintwood Pl, Eagle River, AK 99577. The listed phone number is (907) 696-3339.

What is Jeremiah Newbold's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jeremiah Newbold was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.