Provider Demographics
NPI:1316059421
Name:MCCARTNEY, NATASHA MONIQUA (LCSW-R)
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:MONIQUA
Last Name:MCCARTNEY
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 W 143RD ST
Mailing Address - Street 2:UNIT #4A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-1203
Mailing Address - Country:US
Mailing Address - Phone:646-283-3983
Mailing Address - Fax:
Practice Address - Street 1:313 W 143RD ST
Practice Address - Street 2:UNIT #4A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10030-1203
Practice Address - Country:US
Practice Address - Phone:646-283-3983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR063924-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical