Provider Demographics
NPI:1659358133
Name:NORRIS, CAROLYN B (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:B
Last Name:NORRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3503 HENDERSON RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-5413
Mailing Address - Country:US
Mailing Address - Phone:336-852-5237
Mailing Address - Fax:
Practice Address - Street 1:2100 FAIRFAX RD
Practice Address - Street 2:SUITE 119
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3009
Practice Address - Country:US
Practice Address - Phone:336-852-1711
Practice Address - Fax:336-852-9002
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC004346101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health