Provider Demographics
NPI:1740523851
Name:MAURICIO, MARY NATALIE (LCSW)
Entity type:Individual
Prefix:
First Name:MARY NATALIE
Middle Name:
Last Name:MAURICIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARY NATALIE
Other - Middle Name:
Other - Last Name:MONDIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1730 W OLYMPIC BLVD FL 3A-100
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-1019
Mailing Address - Country:US
Mailing Address - Phone:213-553-1884
Mailing Address - Fax:213-236-9662
Practice Address - Street 1:PO BOX 1801
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91009-4801
Practice Address - Country:US
Practice Address - Phone:626-940-8253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical