Healthcare Provider Details

I. General information

NPI: 1396302048
Provider Name (Legal Business Name): NATALIE DEE NEGRON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2019
Last Update Date: 05/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 NORTHAMPTON ST
EASTHAMPTON MA
01027-1057
US

IV. Provider business mailing address

77 MAYFLOWER RD
SPRINGFIELD MA
01118-1406
US

V. Phone/Fax

Practice location:
  • Phone: 413-529-1764
  • Fax:
Mailing address:
  • Phone: 413-626-7765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: