Provider Demographics
NPI:1437535556
Name:NORRIS, PRISCILA (LCSW)
Entity Type:Individual
Prefix:
First Name:PRISCILA
Middle Name:
Last Name:NORRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:PRISCILA
Other - Middle Name:
Other - Last Name:HILLIGUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2836 HENDERSON DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-5242
Mailing Address - Country:US
Mailing Address - Phone:910-939-0836
Mailing Address - Fax:
Practice Address - Street 1:2836 HENDERSON DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-5242
Practice Address - Country:US
Practice Address - Phone:910-939-0836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0109661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical