Healthcare Provider Details

I. General information

NPI: 1750737599
Provider Name (Legal Business Name): NATASIA D BROWN LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 05/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 W. SARATOGA ST.
BALTIMORE MD
21223
US

IV. Provider business mailing address

1501 W. SARATOGA ST.
BALTIMORE MD
21223
US

V. Phone/Fax

Practice location:
  • Phone: 410-383-8300
  • Fax: 410-735-5264
Mailing address:
  • Phone: 410-383-8300
  • Fax: 410-735-5264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number21101
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: