Provider Demographics
NPI:1508275926
Name:NORTON, DANIEL IVERS (LCSW)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:IVERS
Last Name:NORTON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 KIRKBRIDGE DR.
Mailing Address - Street 2:BLDG. 803 RM 121
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304
Mailing Address - Country:US
Mailing Address - Phone:716-236-3489
Mailing Address - Fax:
Practice Address - Street 1:2510 KIRKBRIDGE DR.
Practice Address - Street 2:BLDG. 803 RM 121
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304
Practice Address - Country:US
Practice Address - Phone:716-236-3489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0137991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical