MEDICARE: MRS. EKIUWA NORELUS 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	101YM0800X	Mental Health Counselor		FL
2	101YM0800X	Mental Health Counselor	SW11140	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SW11140	OTHER	FL	FL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881933703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EKIUWA NORELUS LCSW

Provider Business Mailing Address
First Line	:	18441 NW 2ND AVE STE 116
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33169-4571
Country	:	US
Telephone Number	:	305-299-6040
Fax Number	:	786-655-7303

Provider Business Practice Location Address
First Line	:	18441 NW 2ND AVE STE 216
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33169-4517
Country	:	US
Telephone Number	:	786-655-7300
Fax Number	:	786-655-7303

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

Provider Enumeration Date	:	02/13/2013
Last Update Date	:	05/28/2025

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