Provider Demographics
NPI:1487023206
Name:DELEON, NATALIE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:DELEON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3193 NW 65TH DR
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1621
Mailing Address - Country:US
Mailing Address - Phone:857-654-8427
Mailing Address - Fax:
Practice Address - Street 1:3193 NW 65TH DR
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1621
Practice Address - Country:US
Practice Address - Phone:857-654-8427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-22
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW15460101Y00000X, 101YM0800X, 104100000X, 1041S0200X, 1041C0700X
101Y00000X, 101YM0800X, 104100000X, 1041C0700X, 1041S0200X
MA1245291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool