NPIMap

Organization Active NPI

Norman Behavioral Health

  • Clinical Social Worker
  • Hephzibah, GA
National Provider Identifier
1437609666
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004921 Issued in GA
Legal business name
NORMAN BEHAVIORAL HEALTH
Practice address
3634 Spanish Trace Dr
Hephzibah, GA 30815-6680
Phone
(706) 267-7763
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Ardra Norman, LCSW
Title
Owner
Phone
(706) 267-7763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW004921 GA Primary

Addresses

Primary practice location

3634 Spanish Trace Dr
Hephzibah, GA 30815-6680

Mailing address

3634 Spanish Trace Dr
Hephzibah, GA 30815-6680
Phone (706) 267-7763

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1437609666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 SPANISH TRACE DR",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308156680",
            "telephone_number": "706-267-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 SPANISH TRACE DR",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308156680",
            "telephone_number": "706-267-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "ARDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-267-7763",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hephzibah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.