MEDICARE: MR. NORMAN H HANEY MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	002019	MO

General Provider Information

NPI Number	:	1225141039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NORMAN H HANEY MSW, LCSW

Provider Business Mailing Address
First Line	:	20 WESTWOODS DR
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-3519
Country	:	US
Telephone Number	:	816-781-2349
Fax Number	:	816-792-8232

Provider Business Practice Location Address
First Line	:	20 WESTWOODS DR
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-3519
Country	:	US
Telephone Number	:	816-781-2349
Fax Number	:	816-792-8232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	04/08/2021

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