Healthcare Provider Details

I. General information

NPI: 1457846909
Provider Name (Legal Business Name): NATALIE J WARTA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE WALKER

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 07/06/2025
Certification Date: 07/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8220 SHERRILLS FORD RD # 145
SHERRILLS FORD NC
28673-7311
US

IV. Provider business mailing address

8220 SHERRILLS FORD RD # 145
SHERRILLS FORD NC
28673-7311
US

V. Phone/Fax

Practice location:
  • Phone: 919-514-9775
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC013125
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: