Provider Demographics
NPI:1326074147
Name:NORWOOD, LYNNE ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:ANNE
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LYNNE
Other - Middle Name:ANNE
Other - Last Name:QUACKENBOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 FLEMING ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3528
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:828-693-9560
Practice Address - Street 1:493 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:NC
Practice Address - Zip Code:28753-3901
Practice Address - Country:US
Practice Address - Phone:828-649-2367
Practice Address - Fax:828-649-3859
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0015881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003013Medicaid
NC2862558CMedicare ID - Type UnspecifiedLCSW GRP # 2335660A