Provider Demographics
NPI:1306907209
Name:SELL, NORMA J (LMSW ACSW)
Entity type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:J
Last Name:SELL
Suffix:
Gender:F
Credentials:LMSW ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3971 WOODPASS LN
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48895-9044
Mailing Address - Country:US
Mailing Address - Phone:517-490-0203
Mailing Address - Fax:
Practice Address - Street 1:3971 WOODPASS LN
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:MI
Practice Address - Zip Code:48895-9044
Practice Address - Country:US
Practice Address - Phone:517-490-0203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010356341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801035634OtherBOARD OF SOCIAL WORK - DEPARTMENT OF COMMUNITY HEALTH
MI6801035634OtherBOARD OF SOCIAL WORK - DEPARTMENT OF COMMUNITY HEALTH