NPI Code Details Logo

NPI 1295566834

NPI 1295566834 : NATALIE ROBERTSON LSW : NEWARK, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295566834
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    NATALIE ROBERTSON LSW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/13/2024
-----------------------------------------------------
    Last Update Date     |    12/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    195 UNION ST 
-----------------------------------------------------
    City                 |    NEWARK
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43055-3919
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    866-534-2639
-----------------------------------------------------
    Fax                  |    800-480-7578
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    12705 CHERRY LN 
-----------------------------------------------------
    City                 |    MILLERSPORT
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43046-9731
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    740-503-8025
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    171M00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Manager/Care Coordinator
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    S.2512975
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.