Provider Demographics
NPI:1558015958
Name:NORRIS, KAYLA L (LCSW, MSW)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:L
Last Name:NORRIS
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 STUYVESANT LN
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-0638
Mailing Address - Country:US
Mailing Address - Phone:931-581-2500
Mailing Address - Fax:
Practice Address - Street 1:2909 STUYVESANT LN
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-0638
Practice Address - Country:US
Practice Address - Phone:931-581-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-05
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN79951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical