Healthcare Provider Details

I. General information

NPI: 1679318448
Provider Name (Legal Business Name): NATALIE PAIGE GRANAT LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2024
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 W PARK AVE
BARBERTON OH
44203-2580
US

IV. Provider business mailing address

524 W PARK AVE
BARBERTON OH
44203-2580
US

V. Phone/Fax

Practice location:
  • Phone: 330-753-1096
  • Fax:
Mailing address:
  • Phone: 330-753-1096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2512174
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: