Provider Demographics
NPI:1518131028
Name:BOBB-SEMPLE, NATASHA MERN (LMSW)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:MERN
Last Name:BOBB-SEMPLE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 E 48TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-5224
Mailing Address - Country:US
Mailing Address - Phone:347-742-3309
Mailing Address - Fax:
Practice Address - Street 1:580 E 48TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-5224
Practice Address - Country:US
Practice Address - Phone:347-742-3309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064492-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical