Provider Demographics
NPI:1629892948
Name:WINSTEAD NORWOOD, PEYTON N (LISCW)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:N
Last Name:WINSTEAD NORWOOD
Suffix:
Gender:F
Credentials:LISCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3804 PORTOFINO CT UNIT 204
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-7686
Mailing Address - Country:US
Mailing Address - Phone:910-477-2125
Mailing Address - Fax:
Practice Address - Street 1:502 BULLOCKS POINT AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-3504
Practice Address - Country:US
Practice Address - Phone:910-477-2125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-13
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW042701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical