Healthcare Provider Details

I. General information

NPI: 1295566834
Provider Name (Legal Business Name): NATALIE ROBERTSON LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 UNION ST
NEWARK OH
43055-3919
US

IV. Provider business mailing address

12705 CHERRY LN
MILLERSPORT OH
43046-9731
US

V. Phone/Fax

Practice location:
  • Phone: 866-534-2639
  • Fax: 800-480-7578
Mailing address:
  • Phone: 740-503-8025
  • 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.2512975
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: