Provider Demographics
NPI:1205575404
Name:NORASING, PATHANA K (LCSW)
Entity type:Individual
Prefix:MRS
First Name:PATHANA
Middle Name:K
Last Name:NORASING
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 1:129 MESEROLE ST APT 3B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-2196
Mailing Address - Country:US
Mailing Address - Phone:203-648-8101
Mailing Address - Fax:
Practice Address - Street 1:129 MESEROLE ST APT 3B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-2196
Practice Address - Country:US
Practice Address - Phone:203-648-8101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0833591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical