Healthcare Provider Details

I. General information

NPI: 1114414539
Provider Name (Legal Business Name): CARLIE ANN NORRIS MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 REDBUD DR
TAYLOR MILL KY
41015-2118
US

IV. Provider business mailing address

714 RED BUD DR
TAYLOR MILL KY
41015-2118
US

V. Phone/Fax

Practice location:
  • Phone: 859-620-5673
  • Fax:
Mailing address:
  • Phone: 859-620-5673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number00001749
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: