Provider Demographics
NPI:1770092108
Name:NORMAN, JOHNPAUL (LCSW)
Entity type:Individual
Prefix:
First Name:JOHNPAUL
Middle Name:
Last Name:NORMAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3263 S GLENHAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4570
Mailing Address - Country:US
Mailing Address - Phone:417-861-7296
Mailing Address - Fax:
Practice Address - Street 1:BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL - BDAACH
Practice Address - Street 2:UNIT #15245, BLDG 3031
Practice Address - City:APO
Practice Address - State:ARMED FORCES PACIFIC
Practice Address - Zip Code:96271
Practice Address - Country:KR
Practice Address - Phone:315-737-1219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0110021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical