Provider Demographics
NPI:1952583122
Name:BEATRIZ, NORMA (MSW)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:BEATRIZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 980445
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-0445
Mailing Address - Country:US
Mailing Address - Phone:269-353-8652
Mailing Address - Fax:
Practice Address - Street 1:108 S ADAMS ST UNIT 980445
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-7035
Practice Address - Country:US
Practice Address - Phone:269-353-8652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010180631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical