Provider Demographics
NPI:1245420397
Name:NATALI, ELIZABETH LEE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:LEE
Last Name:NATALI
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6241 MALVERN AVE
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91737-3737
Mailing Address - Country:US
Mailing Address - Phone:909-418-4040
Mailing Address - Fax:
Practice Address - Street 1:686 E MILL ST
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-1610
Practice Address - Country:US
Practice Address - Phone:909-798-8559
Practice Address - Fax:909-798-8575
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical