Provider Demographics
NPI:1568056315
Name:WATKINS, NATASHA CHANTAL (LICSW)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:CHANTAL
Last Name:WATKINS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2778 UNICORN LN NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2234
Mailing Address - Country:US
Mailing Address - Phone:202-359-3444
Mailing Address - Fax:
Practice Address - Street 1:2778 UNICORN LN NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2234
Practice Address - Country:US
Practice Address - Phone:202-359-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-23
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC20000026341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1164033304OtherPRIVATE INSURANCE