Mr Gary Lee Norman, LICSW, LCSW | |
15-2660 Pahoa Village Rd Ste 203-521, Pahoa, HI 96778-6720 | |
(612) 816-8434 | |
Not Available |
Full Name | Mr Gary Lee Norman |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 15-2660 Pahoa Village Rd Ste 203-521, Pahoa, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972644581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 18626 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-4842 (Hawaii) | Primary |
Entity Name | Eagan Counseling Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144311184 PECOS PAC ID: 2860304045 Enrollment ID: O20031105000326 |
Mailing Address | Practice Location Address |
---|---|
Mr Gary Lee Norman, LICSW, LCSW 14323 Golf View Dr, Eden Prairie, MN 55346-3004 Ph: (612) 816-8434 | Mr Gary Lee Norman, LICSW, LCSW 15-2660 Pahoa Village Rd Ste 203-521, Pahoa, HI 96778-6720 Ph: (612) 816-8434 |
Mr. Shawn R Slater, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14-803 Seaview Rd, Nanawale Estates, Pahoa, HI 96778 Phone: 808-965-5349 Fax: 808-965-5036 | |
Bryan Houston, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14-803 Seaview Rd, Pahoa, HI 96778 Phone: 808-965-5349 Fax: 808-965-5036 | |
Ms. Marianne Hooker, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15-2706 Honu St, Pahoa, HI 96778 Phone: 808-631-8792 | |
Mr. Frank J Capatch, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14-803 Seaview Rd, Nanawale Estates, Pahoa, HI 96778 Phone: 808-965-5349 Fax: 808-965-5036 | |
David Kazmierczak, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14-803a Seaview Rd, Pahoa, HI 96778 Phone: 808-938-6565 | |
Mr. Eliot Jay Rosen, MSW, DCSW, QCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13-3564 Moku St, Pahoa, HI 96778 Phone: 808-965-1279 | |
Holly Pierce, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16-2463 Ainaloa Dr, Pahoa, HI 96778 Phone: 916-370-5266 Fax: 916-370-5266 |