Healthcare Provider Details

I. General information

NPI: 1437585494
Provider Name (Legal Business Name): JEANNIE RUTH NORRIS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JEANNIE RUTH NORRIS LMSW, MPA, CAADC

II. Dates (important events)

Enumeration Date: 09/23/2013
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8482 M 119 STE 18B
HARBOR SPRINGS MI
49740-9581
US

IV. Provider business mailing address

PO BOX 10
MASON MI
48854-0010
US

V. Phone/Fax

Practice location:
  • Phone: 231-838-9993
  • Fax:
Mailing address:
  • Phone: 517-676-9788
  • Fax: 517-676-3438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801095439
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801095439
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: