Healthcare Provider Details

I. General information

NPI: 1598178956
Provider Name (Legal Business Name): MS. NATALIE LAMBDIN-SHIRLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8912 VOLUNTEER LN
SACRAMENTO CA
95826-3221
US

IV. Provider business mailing address

66 CANAL ST
BOSTON MA
02114-2002
US

V. Phone/Fax

Practice location:
  • Phone: 916-344-0199
  • Fax: 916-344-0196
Mailing address:
  • Phone: 617-371-3010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number71304
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: