Doctor Name: | NOREEN EDWARDS |
NPI Number: | 1487010567 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCSW 69665 |
Business Practice Address: | 1100 Main St Ste C Fortuna, CA - 955402148 |
Business Phone Number: | 7076011483 |
Business Fax Number: | 7074420239 |
Mailing Address: | 1100 Main St Ste C, FORTUNA |
State: | CA |
Postal Code: | 955402148 |
Phone Number: | 7076011483 |
Fax Number: | 7074420239 |
NPI Enumeration Date: | 01/06/2016 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW 69665 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |