Individual provider Active NPI

Norma Kay C Wood, LCSW

  • Clinical Social Worker
  • Florence, OR
National Provider Identifier
1093964090
Registry record updated May 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6835 Issued in OR
Practice address
1234 Rhododendron Dr
Suite 7, 2ND Floor
Florence, OR 97439
Phone
(541) 782-8870
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L6835 OR Primary

Addresses

Primary practice location

1234 Rhododendron Dr
Suite 7, 2ND Floor
Florence, OR 97439

Mailing address

88472 4TH Ave
Florence, OR 97439-9106
Phone (804) 439-1775

Other practice location 1

5511 Staples Mill Rd
Suite 102
Richmond, VA 23228-5445
Phone (804) 497-4676

Other practice location 2

400 9th St
Florence, OR 97439-7398
Phone (541) 997-3418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618001503 OR Practitioner - Clinical Social Worker 0547424137 Practice locations: Florence, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1509 9TH St
Unit B
Florence, OR 97439-8495
Phone (541) 782-8870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L6835ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Waters Counseling Center Clinical Past Accepting new patients
Coastal Counseling, LLC Clinical PastSince May 1, 2018 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526169600000",
    "number": "1093964090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88472 4TH AVE",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399106",
            "telephone_number": "804-439-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 RHODODENDRON DR",
            "address_2": "SUITE 7, 2ND FLOOR",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "97439",
            "telephone_number": "541-782-8870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5511 Staples Mill Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232285445",
            "country_code": "US",
            "telephone_number": "804-497-4676",
            "fax_number": "804-497-4677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 9th St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974397398",
            "country_code": "US",
            "telephone_number": "541-997-3418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "NORMA KAY",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2018-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, OR

Sources for this page

Verify at the official NPI Registry.