Provider Demographics
NPI:1659008340
Name:WHITE, NATALIE MARIE (MSW)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARIE
Last Name:WHITE
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 1:9538 KEZIA TRL
Mailing Address - Street 2:
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-8044
Mailing Address - Country:US
Mailing Address - Phone:703-786-8464
Mailing Address - Fax:
Practice Address - Street 1:9538 KEZIA TRL
Practice Address - Street 2:
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-8044
Practice Address - Country:US
Practice Address - Phone:703-786-8464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker