MEDICARE: NATALIE BOTH MSW

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		VA

General Provider Information

NPI Number	:	1982555314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE BOTH MSW

Provider Business Mailing Address
First Line	:	4870 EISENHOWER AVE UNIT 302
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-7358
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 GROVEDALE DR STE 200
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22310-2504
Country	:	US
Telephone Number	:	571-414-9645
Fax Number	:

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

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “ NATALIE BOTH MSW” Practice Location

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