=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639962293
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NATALIA NORZAGARAY LMSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/27/2025
-----------------------------------------------------
Last Update Date | 05/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 248 ADDIE ROY RD # A103
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78746-4131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-329-9455
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3500 N CAPITAL OF TEXAS HWY APT 138
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78746-3374
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-613-9922
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 111884
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------