Active NPI
Mirka Norman
- Social Worker
- Coppell, TX
National Provider Identifier
1447658489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 63652
- Practice address
- 110 W Sandy Lake Rd
Suite 102, Box 101
Coppell, TX 75019-2015 - Phone
- (214) 671-8530
- NPI assigned
- Dec 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | |||
| Social Worker | 104100000X | 63652 | TX | Primary |
Addresses
Primary practice location
110 W Sandy Lake Rd
Suite 102, Box 101
Coppell, TX 75019-2015
Mailing address
110 W Sandy Lake Rd
Suite 102, Box 101
Coppell, TX 75019-2015
Phone (214) 671-8530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63652 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Child Guidance Centers | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1447658489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W SANDY LAKE RD",
"address_2": "SUITE 102, BOX 101",
"city": "COPPELL",
"state": "TX",
"postal_code": "750192015",
"telephone_number": "214-671-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W SANDY LAKE RD",
"address_2": "SUITE 102, BOX 101",
"city": "COPPELL",
"state": "TX",
"postal_code": "750192015",
"telephone_number": "214-671-8530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "MIRKA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-08",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "63652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.