Active NPI
Michelle Celeste Norris
- Clinical Social Worker
- Hayward, CA
National Provider Identifier
1922417708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW 62490
- Practice address
- 695 Atherton PL
Hayward, CA 94541-6600 - Phone
- (510) 305-9144
- NPI assigned
- Aug 6, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | I4630812 | CA | |
| Clinical Social Worker | 1041C0700X | ASW 62490 | CA | Primary |
Addresses
Primary practice location
695 Atherton PL
Hayward, CA 94541-6600
Mailing address
695 Atherton PL
Hayward, CA 94541-6600
Phone (510) 305-9144
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 |
|---|---|---|---|
| I4630812 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| ASW 62490 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408320000000",
"number": "1922417708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 ATHERTON PL",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945416600",
"telephone_number": "510-305-9144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 ATHERTON PL",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945416600",
"telephone_number": "510-305-9144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "MICHELLE",
"middle_name": "CELESTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-06",
"last_updated": "2014-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "I4630812",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 62490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.