Provider Demographics
NPI:1831538990
Name:NORRIS, JOHANNA E (LGSW)
Entity type:Individual
Prefix:MRS
First Name:JOHANNA
Middle Name:E
Last Name:NORRIS
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8497 INGLETON RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-5041
Mailing Address - Country:US
Mailing Address - Phone:410-829-0590
Mailing Address - Fax:
Practice Address - Street 1:8497 INGLETON RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-5041
Practice Address - Country:US
Practice Address - Phone:410-829-0590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19030104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker