Provider Demographics
NPI:1083194583
Name:NATALE, MARYANNE (LICSW)
Entity Type:Individual
Prefix:
First Name:MARYANNE
Middle Name:
Last Name:NATALE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1479 MAIN ST APT F
Mailing Address - Street 2:
Mailing Address - City:HANSON
Mailing Address - State:MA
Mailing Address - Zip Code:02341-1549
Mailing Address - Country:US
Mailing Address - Phone:508-245-5693
Mailing Address - Fax:
Practice Address - Street 1:200 S MEADOW RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4740
Practice Address - Country:US
Practice Address - Phone:508-747-8834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2237261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical