Provider Demographics
NPI:1861616385
Name:NORRIS, KAREN D (LCSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:NORRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14679 MIDWAY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3168
Mailing Address - Country:US
Mailing Address - Phone:972-234-6634
Mailing Address - Fax:972-234-6648
Practice Address - Street 1:14679 MIDWAY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3168
Practice Address - Country:US
Practice Address - Phone:972-234-6634
Practice Address - Fax:972-234-6648
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX324321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical