Provider Demographics
NPI:1649363219
Name:NORBECK, PAMELLA JOAN CHAIRS (LCSW C)
Entity type:Individual
Prefix:MS
First Name:PAMELLA
Middle Name:JOAN CHAIRS
Last Name:NORBECK
Suffix:
Gender:F
Credentials:LCSW C
Other - Prefix:
Other - First Name:PAMELLA
Other - Middle Name:JOAN
Other - Last Name:CHAIRS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10400 RIDGELAND ROAD
Mailing Address - Street 2:STE 1
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030
Mailing Address - Country:US
Mailing Address - Phone:410-628-6120
Mailing Address - Fax:410-628-9825
Practice Address - Street 1:3525 RESOURCE DRIVE
Practice Address - Street 2:ROOM C 47
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133
Practice Address - Country:US
Practice Address - Phone:410-655-7655
Practice Address - Fax:410-655-3941
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD043961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
60875201OtherCAREFIRST MD
R5830011OtherCAREFIRST GHMSI
182982OtherCOMPSYCH
60875201OtherCAREFIRST MD