Provider Demographics
NPI:1477622470
Name:NORTON, KATHLEEN S (LISW)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:S
Last Name:NORTON
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 ALBERT SABIN WAY
Mailing Address - Street 2:MAIL LOCATION 0559
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0559
Mailing Address - Country:US
Mailing Address - Phone:513-475-8710
Mailing Address - Fax:513-475-8023
Practice Address - Street 1:222 PIEDMONT AVE
Practice Address - Street 2:SUITE 8500
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-4231
Practice Address - Country:US
Practice Address - Phone:513-475-8710
Practice Address - Fax:513-475-8023
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI0003585104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHNOSE19251Medicare PIN
73034Medicare UPIN
R73034Medicare UPIN