Provider Demographics
NPI:1205893914
Name:NORLING, VIRGINIA CATHERINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:CATHERINE
Last Name:NORLING
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 1:2255 MYRTLE AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-3386
Mailing Address - Country:US
Mailing Address - Phone:707-444-3365
Mailing Address - Fax:707-443-8961
Practice Address - Street 1:2255 MYRTLE AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-3386
Practice Address - Country:US
Practice Address - Phone:707-444-3365
Practice Address - Fax:707-443-8961
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS161211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CWS161210OtherMEDI CAL
CWS161210OtherMEDI CAL