Healthcare Provider Details

I. General information

NPI: 1366094740
Provider Name (Legal Business Name): NATALIE ROSE HARDING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date: 06/10/2026
Reactivation Date: 07/20/2026

III. Provider practice location address

1820 J ST
SACRAMENTO CA
95811-3010
US

IV. Provider business mailing address

1820 J ST
SACRAMENTO CA
95811-3010
US

V. Phone/Fax

Practice location:
  • Phone: 916-473-5764
  • Fax: 916-473-5764
Mailing address:
  • Phone: 916-473-5764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number127584
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: