Provider Demographics
NPI:1528417417
Name:SAUNDERS, NATALLIA (LMSW)
Entity Type:Individual
Prefix:
First Name:NATALLIA
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 E 10TH ST
Mailing Address - Street 2:APT 6F, 11230
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2847
Mailing Address - Country:US
Mailing Address - Phone:347-543-3615
Mailing Address - Fax:
Practice Address - Street 1:829 EAST 10 ST
Practice Address - Street 2:APT 6F , BROOKLYN NY 11230
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230
Practice Address - Country:US
Practice Address - Phone:347-853-0772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY096129104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker