Provider Demographics
NPI:1124149372
Name:NORFOLK PUBLIC SCHOOLS
Entity type:Organization
Organization Name:NORFOLK PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SUPPORT SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:RICCARDI-GAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-541-5478
Mailing Address - Street 1:232 MAIN ST
Mailing Address - Street 2:H. OLIVE DAY SCHOOL
Mailing Address - City:NORFOLK
Mailing Address - State:MA
Mailing Address - Zip Code:02056-1338
Mailing Address - Country:US
Mailing Address - Phone:508-541-5478
Mailing Address - Fax:508-541-5482
Practice Address - Street 1:232 MAIN ST
Practice Address - Street 2:H. OLIVE DAY SCHOOL
Practice Address - City:NORFOLK
Practice Address - State:MA
Practice Address - Zip Code:02056-1338
Practice Address - Country:US
Practice Address - Phone:508-541-5478
Practice Address - Fax:508-541-5482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251B00000X251B00000X
MA251300000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1954245Medicaid