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NPI Code Detail

MEDICARE: REGINA E NORRIS MSW, LCSW

MEDICARE: REGINA E NORRIS 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
11041C0700XClinical Social WorkerC002072NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376549915
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA E NORRIS MSW, LCSW
Provider Business Mailing Address
First Line : 1046 E WENDOVER AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-6712
Country : US
Telephone Number : 336-272-1050
Fax Number : 336-272-1110
Provider Business Practice Location Address
First Line : 400 E COMMERCE AVE
Second Line :
City : HIGH POINT
State : NC
Zip : 27260-5221
Country : US
Telephone Number : 336-884-0224
Fax Number : 336-884-3471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 07/08/2007

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