Provider Demographics
NPI:1437662426
Name:ISAAC, NATALIE KAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:KAY
Last Name:ISAAC
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:NATALIE
Other - Middle Name:KAY
Other - Last Name:ISAAC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2751 24TH AVE NW APT 142
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6670
Mailing Address - Country:US
Mailing Address - Phone:405-255-9782
Mailing Address - Fax:
Practice Address - Street 1:12005 E 470 RD
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-3737
Practice Address - Country:US
Practice Address - Phone:918-342-0770
Practice Address - Fax:918-342-0087
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK62111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical