Provider Demographics
NPI:1225175656
Name:BLUE, NORA CELIA (MSW)
Entity Type:Individual
Prefix:MS
First Name:NORA
Middle Name:CELIA
Last Name:BLUE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 KAHKWA BLVD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-2352
Mailing Address - Country:US
Mailing Address - Phone:814-460-5270
Mailing Address - Fax:814-456-6540
Practice Address - Street 1:504 KAHKWA BLVD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-2352
Practice Address - Country:US
Practice Address - Phone:814-460-5270
Practice Address - Fax:814-456-6540
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA436539OtherCLINICAL SOCIAL WORK