Provider Demographics
NPI:1235647249
Name:GARROTTO, NATALIA JEAN
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:JEAN
Last Name:GARROTTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PLAZA APARTMENTS
Mailing Address - Street 2:988 HOWARD STREET
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2663
Mailing Address - Country:US
Mailing Address - Phone:415-975-0908
Mailing Address - Fax:415-975-9932
Practice Address - Street 1:42 WASHBURN ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2663
Practice Address - Country:US
Practice Address - Phone:415-864-8701
Practice Address - Fax:415-864-0682
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171M00000X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator