Provider Demographics
NPI:1992469456
Name:NORRIS, LINDSEY DANIELLE (MSW, LCSWA, LCASA)
Entity type:Individual
Prefix:MISS
First Name:LINDSEY
Middle Name:DANIELLE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MSW, LCSWA, LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 KEITHS RD
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-8598
Mailing Address - Country:US
Mailing Address - Phone:984-789-8560
Mailing Address - Fax:
Practice Address - Street 1:8358 SIX FORKS RD STE 204
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-5093
Practice Address - Country:US
Practice Address - Phone:919-720-4000
Practice Address - Fax:984-232-7919
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0164921041C0700X
NCLCAS-27245101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)