Provider Demographics
NPI:1093964090
Name:WOOD, NORMA KAY C (LCSW)
Entity Type:Individual
Prefix:
First Name:NORMA KAY
Middle Name:C
Last Name:WOOD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88472 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97439-9106
Mailing Address - Country:US
Mailing Address - Phone:804-439-1775
Mailing Address - Fax:
Practice Address - Street 1:1234 RHODODENDRON DR
Practice Address - Street 2:SUITE 7, 2ND FLOOR
Practice Address - City:FLORENCE
Practice Address - State:OR
Practice Address - Zip Code:97439
Practice Address - Country:US
Practice Address - Phone:541-782-8870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2018-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL68351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical