Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeremiah James Newbold, LCSW

Individual provider Clinical Social Worker · NPI 1790010155

Mr. Jeremiah James Newbold, LCSW is a Clinical Social Worker in Eagle River, Alaska. Licensed in Alaska. Registered with an NPI since 2009.

Licensed in
AK
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

17342 Flintwood Pl
Eagle River, AK 99577-7025
Phone: (907) 696-3339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW S 919 (AK)

Record details

NPI number1790010155
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 2, 2009
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

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