Provider Demographics
NPI:1013040377
Name:NORENSBERG, ROSALYN J (MSW)
Entity Type:Individual
Prefix:MS
First Name:ROSALYN
Middle Name:J
Last Name:NORENSBERG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:ROSALYN
Other - Middle Name:J
Other - Last Name:NORENSBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:8327 W ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7452
Mailing Address - Country:US
Mailing Address - Phone:954-755-9797
Mailing Address - Fax:954-755-5436
Practice Address - Street 1:8327 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7452
Practice Address - Country:US
Practice Address - Phone:954-755-9797
Practice Address - Fax:954-755-5436
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical