Provider Demographics
NPI:1669540910
Name:GREENFIELD, NATALIE NICOLE (LCSW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:NICOLE
Last Name:GREENFIELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 LEXINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1416
Mailing Address - Country:US
Mailing Address - Phone:860-985-8691
Mailing Address - Fax:860-224-7200
Practice Address - Street 1:85 LEXINGTON ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1416
Practice Address - Country:US
Practice Address - Phone:860-985-8691
Practice Address - Fax:860-224-7200
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0059401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical