Provider Demographics
NPI:1114043460
Name:NORTON, LANA T (MSSW, LCSW, BCD)
Entity Type:Individual
Prefix:MS
First Name:LANA
Middle Name:T
Last Name:NORTON
Suffix:
Gender:F
Credentials:MSSW, LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37133-0191
Mailing Address - Country:US
Mailing Address - Phone:615-893-0374
Mailing Address - Fax:615-896-7026
Practice Address - Street 1:805 S CHURCH ST
Practice Address - Street 2:JEFFERSON SQUARE, SUITE 7
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4968
Practice Address - Country:US
Practice Address - Phone:615-893-0374
Practice Address - Fax:615-896-7026
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000027251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0062576OtherPROVIDER ID