Provider Demographics
NPI:1164589354
Name:CONROE, NORLINDA ANN (MSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:NORLINDA
Middle Name:ANN
Last Name:CONROE
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SOUTHPINE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3332
Mailing Address - Country:US
Mailing Address - Phone:508-733-3829
Mailing Address - Fax:508-520-3767
Practice Address - Street 1:8 SOUTHPINE RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3332
Practice Address - Country:US
Practice Address - Phone:508-733-3829
Practice Address - Fax:508-520-3767
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1107741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPO23042Medicare ID - Type UnspecifiedMEDICARE B PROGRAM