=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821177247
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALBERT STEVEN NATALE MSW LCSW
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2006
-----------------------------------------------------
Last Update Date | 12/13/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3 PARK AVE
-----------------------------------------------------
City | BINGHAMTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13903-1668
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 607-669-4772
-----------------------------------------------------
Fax | 607-669-4776
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1350 REYNOLDS CR.
-----------------------------------------------------
City | BINGHAMTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13903-5616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 607-669-4772
-----------------------------------------------------
Fax | 607-669-4776
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | RO528271
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------