MEDICARE: NATALIE NICOLE GREENFIELD 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	1041C0700X	Clinical Social Worker	005940

General Provider Information

NPI Number	:	1669540910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE NICOLE GREENFIELD LCSW

Provider Business Mailing Address
First Line	:	85 LEXINGTON ST
Second Line	:
City	:	NEW BRITAIN
State	:	CT
Zip	:	06052-1416
Country	:	US
Telephone Number	:	860-985-8691
Fax Number	:	860-224-7200

Provider Business Practice Location Address
First Line	:	85 LEXINGTON ST
Second Line	:
City	:	NEW BRITAIN
State	:	CT
Zip	:	06052-1416
Country	:	US
Telephone Number	:	860-985-8691
Fax Number	:	860-224-7200

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

Provider Enumeration Date	:	12/02/2006
Last Update Date	:	08/27/2013

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