Provider Demographics
NPI:1356011969
Name:EVANS, NATALIE (SWT, QMHS)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:EVANS
Suffix:
Gender:F
Credentials:SWT, QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5304
Mailing Address - Country:US
Mailing Address - Phone:844-622-5564
Mailing Address - Fax:
Practice Address - Street 1:515 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5304
Practice Address - Country:US
Practice Address - Phone:844-622-5564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X, 104100000X
OHFPS000022175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist