Healthcare Provider Details

I. General information

NPI: 1407918949
Provider Name (Legal Business Name): NORMA DABBS M.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVE NW
WASHINGTON DC
20307-0003
US

IV. Provider business mailing address

428 FERRET RD
KNOXVILLE TN
37934-4053
US

V. Phone/Fax

Practice location:
  • Phone: 202-356-1012
  • Fax: 202-782-4922
Mailing address:
  • Phone: 865-671-1563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS6475
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: