Provider Demographics
NPI:1447437892
Name:PAISLEY, NORMA JEAN (LCSW)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:JEAN
Last Name:PAISLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:JEAN
Other - Last Name:PAISLEY-ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:30,000 KASSON RD.
Mailing Address - Street 2:#323
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95304
Mailing Address - Country:US
Mailing Address - Phone:209-832-4350
Mailing Address - Fax:
Practice Address - Street 1:30000 KASSON RD. #323
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95304
Practice Address - Country:US
Practice Address - Phone:209-832-4350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 152761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical