Provider Demographics
NPI:1922568047
Name:NATALE, CARLA (LMSW)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:NATALE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-4149
Mailing Address - Country:US
Mailing Address - Phone:518-894-6885
Mailing Address - Fax:
Practice Address - Street 1:6 CHELSEA PL STE 103
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3236
Practice Address - Country:US
Practice Address - Phone:518-364-6632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-24
Last Update Date:2019-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0773051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical