Provider Demographics
NPI:1790929297
Name:THOMAS, NATALIE GRIFFIN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:GRIFFIN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:NATALIE
Other - Middle Name:GRIFFIN
Other - Last Name:GOINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:75272 CRESTVIEW HILLS LOOP
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70435-5681
Mailing Address - Country:US
Mailing Address - Phone:504-577-8804
Mailing Address - Fax:
Practice Address - Street 1:75272 CRESTVIEW HILLS LOOP
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70435-5681
Practice Address - Country:US
Practice Address - Phone:504-577-8804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA74851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical