Provider Demographics
NPI:1437423134
Name:SHAFFER, NORMAN LINCOLN (LCSW)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:LINCOLN
Last Name:SHAFFER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2616 OLD PARROTTSVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:PARROTTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37843-3350
Mailing Address - Country:US
Mailing Address - Phone:423-248-8670
Mailing Address - Fax:
Practice Address - Street 1:2616 OLD PARROTTSVILLE HWY
Practice Address - Street 2:
Practice Address - City:PARROTTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37843-3350
Practice Address - Country:US
Practice Address - Phone:423-248-8670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN74971041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical