Provider Demographics
NPI:1649874991
Name:SMITH, NATALIA LANGNER (LICSW, PIP)
Entity type:Individual
Prefix:MS
First Name:NATALIA
Middle Name:LANGNER
Last Name:SMITH
Suffix:
Gender:F
Credentials:LICSW, PIP
Other - Prefix:
Other - First Name:NATALIA
Other - Middle Name:ANNA
Other - Last Name:LANGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW, PIP
Mailing Address - Street 1:7311 FLATWOODS RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-1725
Mailing Address - Country:US
Mailing Address - Phone:205-260-5990
Mailing Address - Fax:
Practice Address - Street 1:7311 FLATWOODS RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-1725
Practice Address - Country:US
Practice Address - Phone:205-260-5990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4289C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty