Provider Demographics
NPI:1518100346
Name:ALY, NATTASHA CHARANIA (MSW)
Entity Type:Individual
Prefix:
First Name:NATTASHA
Middle Name:CHARANIA
Last Name:ALY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3570 MILLENIA BLVD APT 8201
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-2168
Mailing Address - Country:US
Mailing Address - Phone:305-332-3656
Mailing Address - Fax:
Practice Address - Street 1:3570 MILLENIA BLVD APT 8201
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-2168
Practice Address - Country:US
Practice Address - Phone:305-332-3656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000000712AMedicaid