MEDICARE: NATHASHA CHRISTOPHER-HENRY 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	ISW6053	FL
2	1041C0700X	Clinical Social Worker	SW20964	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780015230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHASHA CHRISTOPHER-HENRY LCSW

Provider Business Mailing Address
First Line	:	1790 STRATHMORE CIR
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-8808
Country	:	US
Telephone Number	:	347-661-2740
Fax Number	:	352-729-2105

Provider Business Practice Location Address
First Line	:	7984 FOREST CITY RD STE 103
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-2907
Country	:	US
Telephone Number	:	813-290-8560
Fax Number	:

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

Provider Enumeration Date	:	12/10/2013
Last Update Date	:	02/13/2023

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