Provider Demographics
NPI:1013351147
Name:SIEGELE, NATALIE (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:SIEGELE
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:DIAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, EIS
Mailing Address - Street 1:5227 GRANTS FREDERICK
Mailing Address - Street 2:
Mailing Address - City:SOUTH LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45065-1524
Mailing Address - Country:US
Mailing Address - Phone:210-313-1399
Mailing Address - Fax:
Practice Address - Street 1:7140 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2261
Practice Address - Country:US
Practice Address - Phone:513-777-2428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-19
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS. 1450999104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker