Provider Demographics
NPI:1316483175
Name:HARDING, NATASHA
Entity type:Individual
Prefix:MISS
First Name:NATASHA
Middle Name:
Last Name:HARDING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 TROUTMAN ST
Mailing Address - Street 2:APT. 3L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-2588
Mailing Address - Country:US
Mailing Address - Phone:718-812-7991
Mailing Address - Fax:
Practice Address - Street 1:290 TROUTMAN ST
Practice Address - Street 2:APT. 3L
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-2588
Practice Address - Country:US
Practice Address - Phone:718-812-7991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY083061104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker