Provider Demographics
NPI:1912338658
Name:DEERING, NORMA LETICIA (LCSW)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:LETICIA
Last Name:DEERING
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 1:1790 N LEE TREVINO DR
Mailing Address - Street 2:601-A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-4545
Mailing Address - Country:US
Mailing Address - Phone:915-778-4243
Mailing Address - Fax:915-778-4244
Practice Address - Street 1:1790 N LEE TREVINO DR
Practice Address - Street 2:601-A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4545
Practice Address - Country:US
Practice Address - Phone:915-778-4243
Practice Address - Fax:915-778-4244
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-05
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX125951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical