Provider Demographics
NPI:1770182339
Name:PRATT, NATASHA LYNN (LCSWA)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:LYNN
Last Name:PRATT
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2422 COATSDALE LN
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-5166
Mailing Address - Country:US
Mailing Address - Phone:704-318-3359
Mailing Address - Fax:
Practice Address - Street 1:1300 STONEMOOR CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-3461
Practice Address - Country:US
Practice Address - Phone:919-859-9768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2022-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0152371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical