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NPI Code Detail

MEDICARE: MS. NATASHA NICHELE CLAY CMSW

MEDICARE: MS. NATASHA NICHELE CLAY CMSW
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1417087198
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NATASHA NICHELE CLAY CMSW
Provider Business Mailing Address
First Line : 2122 CIRCLE DR
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4430
Country : US
Telephone Number : 931-490-1480
Fax Number : 931-490-1482
Provider Business Practice Location Address
First Line : 2122 CIRCLE DR
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4430
Country : US
Telephone Number : 931-490-1480
Fax Number : 931-490-1482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 01/15/2008

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