Provider Demographics
NPI:1003187378
Name:NORWOOD, CLINTON PAIGE JR (LMSW)
Entity Type:Individual
Prefix:MR
First Name:CLINTON
Middle Name:PAIGE
Last Name:NORWOOD
Suffix:JR
Gender:M
Credentials:LMSW
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Mailing Address - Street 1:106 PARKWAY
Mailing Address - Street 2:UTICA CITY SCHOOL DISTRICT
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501
Mailing Address - Country:US
Mailing Address - Phone:315-368-6001
Mailing Address - Fax:315-368-6272
Practice Address - Street 1:1203 HILTON AVENUE
Practice Address - Street 2:PROCTOR HIGH SCHOOL
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501
Practice Address - Country:US
Practice Address - Phone:315-368-6001
Practice Address - Fax:315-368-6272
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2016-12-15
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Provider Licenses
StateLicense IDTaxonomies
NY072286-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker