Individual provider Active NPI

Braden G Norton, LCSW

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1508519950
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.024199 Issued in IL
Practice address
415 S Mulford Rd Ste 100
Rockford, IL 61108-3012
Phone
(815) 399-5700
Fax
(815) 399-5767
NPI assigned
Jan 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 149.024199 IL Primary

Addresses

Primary practice location

415 S Mulford Rd Ste 100
Rockford, IL 61108-3012

Mailing address

415 S Mulford Rd Ste 100
Rockford, IL 61108-3012
Phone (815) 399-5700

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

LicenseStateTypeSpecialty
149.024199ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cyndie J Norton Professional Corporation Clinical CurrentSince Feb 1, 2022 Accepting new patients

Locations

415 S Mulford Rd
Ste 100
Rockford, IL 61108
Phone (815) 399-5700

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": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1508519950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S MULFORD RD STE 100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611083012",
            "telephone_number": "815-399-5700",
            "fax_number": "815-399-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S MULFORD RD STE 100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611083012",
            "telephone_number": "815-399-5700",
            "fax_number": "815-399-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTON",
        "first_name": "BRADEN",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.