Provider Demographics
NPI:1780754598
Name:NORWOOD, DAVID C (MSW LICSW LEAP)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:C
Last Name:NORWOOD
Suffix:
Gender:M
Credentials:MSW LICSW LEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 HEALY RD
Mailing Address - Street 2:
Mailing Address - City:DUDLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01571-1638
Mailing Address - Country:US
Mailing Address - Phone:508-943-9399
Mailing Address - Fax:
Practice Address - Street 1:23 MIDSTATE DR
Practice Address - Street 2:SUITE 218
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501
Practice Address - Country:US
Practice Address - Phone:508-832-6125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1024870103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAN0P22037Medicare ID - Type Unspecified