Provider Demographics
NPI:1134861131
Name:TRACHSEL, NATALIE A (LISW-S)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:A
Last Name:TRACHSEL
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38485 DEEPDALE CT
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-3127
Mailing Address - Country:US
Mailing Address - Phone:330-322-5777
Mailing Address - Fax:
Practice Address - Street 1:38485 DEEPDALE CT
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-3127
Practice Address - Country:US
Practice Address - Phone:330-322-5777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0700157-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical