Active NPI
Laurie A Norris, MSW
- Social Worker
- Grand Rapids, MI
National Provider Identifier
1679109409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801106106
- Practice address
- 3300 36TH St SE
Grand Rapids, MI 49512-2810 - Phone
- (616) 942-2110
- NPI assigned
- Mar 12, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801106106 | MI | Primary |
Addresses
Primary practice location
3300 36TH St SE
Grand Rapids, MI 49512-2810
Mailing address
5691 Forest Glen Dr SE
Ada, MI 49301-9111
Phone (248) 701-5799
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 |
|---|---|---|---|
| 6801106106 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1679109409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5691 FOREST GLEN DR SE",
"city": "ADA",
"state": "MI",
"postal_code": "493019111",
"telephone_number": "248-701-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 36TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495122810",
"telephone_number": "616-942-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "LAURIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-12",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801106106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.