Provider Demographics
NPI:1043036452
Name:NORRIS, SARAH WINCHESTER BODDY (LCSWA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:WINCHESTER BODDY
Last Name:NORRIS
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:NORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSWA
Mailing Address - Street 1:27 BALM GROVE AVE RM 205
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3503
Mailing Address - Country:US
Mailing Address - Phone:828-676-8639
Mailing Address - Fax:
Practice Address - Street 1:27 BALM GROVE AVE RM 205
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3503
Practice Address - Country:US
Practice Address - Phone:423-845-4052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-02
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0210911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical