Individual provider Active NPI

Virginia Catherine Norling, LCSW

  • Clinical Social Worker
  • Eureka, CA
National Provider Identifier
1205893914
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS16121 Issued in CA
Practice address
2255 Myrtle Avenue
Suite a
Eureka, CA 95501-3386
Phone
(707) 444-3365
Fax
(707) 443-8961
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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 LCS16121 CA Primary

Addresses

Primary practice location

2255 Myrtle Avenue
Suite a
Eureka, CA 95501-3386

Mailing address

2255 Myrtle Avenue
Suite a
Eureka, CA 95501-3386
Phone (707) 444-3365

Other identifiers 1

IdentifierTypeStateIssuer
CWS161210OtherMEDI CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120307000652 CA Practitioner - Clinical Social Worker 5890954093 Practice locations: Eureka, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6019 Avalon Dr
Eureka, CA 95503-6701
Phone (707) 496-2311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS16121CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1205893914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 MYRTLE AVENUE",
            "address_2": "SUITE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013386",
            "telephone_number": "707-444-3365",
            "fax_number": "707-443-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 MYRTLE AVENUE",
            "address_2": "SUITE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013386",
            "telephone_number": "707-444-3365",
            "fax_number": "707-443-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORLING",
        "first_name": "VIRGINIA",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "CWS161210",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.