Healthcare Provider Details

I. General information

NPI: 1801924279
Provider Name (Legal Business Name): NATALIE A BROWN LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 N. CLEVELAND AVE CHILDREN'S HOSPITAL GUIDANCE CENTER
WESTERVILLE OH
43082
US

IV. Provider business mailing address

433 N. CLEVELAND AVE CHILDREN'S HOSPITAL GUIDANCE CENTER
WESTERVILLE OH
43082
US

V. Phone/Fax

Practice location:
  • Phone: 614-355-8000
  • Fax: 614-355-8018
Mailing address:
  • Phone: 614-355-8000
  • Fax: 614-355-8018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI4989
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: