Provider Demographics
NPI:1093843674
Name:PAROZ, NATALA (SW)
Entity Type:Individual
Prefix:
First Name:NATALA
Middle Name:
Last Name:PAROZ
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 COPPER AVE NE
Mailing Address - Street 2:LA MESA ES
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-6110
Mailing Address - Country:US
Mailing Address - Phone:505-262-1581
Mailing Address - Fax:
Practice Address - Street 1:7500 COPPER AVE NE
Practice Address - Street 2:LA MESA ES
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-6110
Practice Address - Country:US
Practice Address - Phone:505-262-1581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI 6352104100000X, 1041S0200X
COCSW.099247111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM6424228Medicaid