MEDICARE: NATALIE MARIE STEVENS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801109048	MI
2	104100000X	Social Worker	116718	TX
3	104100000X	Social Worker	6901109048	MI
4	1041C0700X	Clinical Social Worker	116718	TX

General Provider Information

NPI Number	:	1215635842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE MARIE STEVENS

Provider Business Mailing Address
First Line	:	304 DRY CREEK RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-4625
Country	:	US
Telephone Number	:	258-403-8301
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 DRY CREEK RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-4625
Country	:	US
Telephone Number	:	258-403-8301
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2023
Last Update Date	:	10/06/2025

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