Physician Compare National (NPI:1154656627)

HEALTHCARE PROVIDER: NATASHA NALLS LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154656627
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234266693
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100416000509
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NALLS
	Individual professional last name
Provider First Name	NATASHA
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8201 PETERS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1000
	Group Practice or individual's line 2 address
City	PLANTATION
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	333243266
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y