Healthcare Provider Details

I. General information

NPI: 1922712850
Provider Name (Legal Business Name): NATARCHE ANDERSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATARCHE WALKER

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 CARPENTER DR STE 400
SANDY SPRINGS GA
30328-4933
US

IV. Provider business mailing address

152 RANKIN CIR
MCDONOUGH GA
30253-8689
US

V. Phone/Fax

Practice location:
  • Phone: 678-460-0345
  • Fax:
Mailing address:
  • Phone: 504-333-0292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW010428
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: