Provider Demographics
NPI:1245738525
Name:ELMORE, NATALIE (LCSW/LICSW)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:ELMORE
Suffix:
Gender:F
Credentials:LCSW/LICSW
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:WAHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW/LICSW
Mailing Address - Street 1:1730 R ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2410
Mailing Address - Country:US
Mailing Address - Phone:202-673-7200
Mailing Address - Fax:
Practice Address - Street 1:1730 R ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2410
Practice Address - Country:US
Practice Address - Phone:202-673-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW77322101YM0800X
CA969251041C0700X
VA09040137621041C0700X
DCLC20000371041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical