Individual provider Active NPI

Marleen Elsie Norman, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1447346424
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS3994 Issued in CA
Practice address
363 Prague Street
San Francisco, CA 94112-2851
Phone
(415) 333-1655
Fax
(415) 452-9602
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS3994 CA Primary

Addresses

Primary practice location

363 Prague Street
San Francisco, CA 94112-2851

Mailing address

363 Prague Street
San Francisco, CA 94112-2851
Phone (415) 333-1655

Other identifiers 1

IdentifierTypeStateIssuer
CSW039940OtherCAMEDI CAL CROSS OVER CLAIM

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
I20050415000365 CA Practitioner - Clinical Social Worker 7315984879 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Avalon Ave
Apt 210
San Francisco, CA 94112-2080
Phone (415) 333-1655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS3994CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447346424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 PRAGUE STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122851",
            "telephone_number": "415-333-1655",
            "fax_number": "415-452-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 PRAGUE STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122851",
            "telephone_number": "415-333-1655",
            "fax_number": "415-452-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "MARLEEN",
        "middle_name": "ELSIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS3994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL CROSS OVER CLAIM",
            "identifier": "CSW039940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.