Basic Information
| Provider Information | |||||||||
| NPI: | 1518953256 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NORTON | ||||||||
| FirstName: | JANIS | ||||||||
| MiddleName: | LOUISE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 718 OTT ST | ||||||||
| Address2: | |||||||||
| City: | HARRISONBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 228013223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5404336552 | ||||||||
| FaxNumber: | 5404341791 | ||||||||
| Practice Location | |||||||||
| Address1: | 718 OTT ST | ||||||||
| Address2: | |||||||||
| City: | HARRISONBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 228013223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5404336552 | ||||||||
| FaxNumber: | 5404341791 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 0904001000 | VA | Y | Behavioral Health & Social Service Providers | Social Worker |
ID Information
| ID | Type | State | Issuer | Description | 087503 | 01 | VA | SENTARA OPTIMA | OTHER | 332669 | 01 | VA | ANTHEM | OTHER |