Provider Demographics
NPI:1902312416
Name:NEGRON, NORMA ELSA (MCSW)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:ELSA
Last Name:NEGRON
Suffix:
Gender:F
Credentials:MCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 119030
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-9853
Mailing Address - Country:US
Mailing Address - Phone:787-377-3889
Mailing Address - Fax:
Practice Address - Street 1:5 CALLE SANTA ROSA
Practice Address - Street 2:
Practice Address - City:GUANICA
Practice Address - State:PR
Practice Address - Zip Code:00653-2840
Practice Address - Country:US
Practice Address - Phone:787-214-7934
Practice Address - Fax:787-214-7934
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR113281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical