MEDICARE: MRS. NATASHA NICOLE HAMILTON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	7517	OK
2	106S00000X	Behavior Technician	BACB1280718	OK

General Provider Information

NPI Number	:	1245734839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATASHA NICOLE HAMILTON LCSW

Provider Business Mailing Address
First Line	:	303 N BROADWAY ST
Second Line	:
City	:	CLEVELAND
State	:	OK
Zip	:	74020-3421
Country	:	US
Telephone Number	:	539-209-1209
Fax Number	:	539-203-3672

Provider Business Practice Location Address
First Line	:	303 N BROADWAY ST
Second Line	:
City	:	CLEVELAND
State	:	OK
Zip	:	74020-3421
Country	:	US
Telephone Number	:	539-209-1209
Fax Number	:	539-203-3672

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2018
Last Update Date	:	03/21/2025

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Directions to “ MRS. NATASHA NICOLE HAMILTON LCSW” Practice Location

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