Provider Demographics
NPI:1386538395
Name:FRADKIN, NATASHA (LMSW)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:FRADKIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 RIVERSIDE BLVD APT 34D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10069-1014
Mailing Address - Country:US
Mailing Address - Phone:917-414-7640
Mailing Address - Fax:
Practice Address - Street 1:220 RIVERSIDE BLVD
Practice Address - Street 2:APT 34D
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10069-1014
Practice Address - Country:US
Practice Address - Phone:917-414-7640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker