Provider Demographics
NPI:1396989232
Name:FAULKNER, NATALIE RENEE (LCSW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:RENEE
Last Name:FAULKNER
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 1:10 MYRA PL
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-8909
Mailing Address - Country:US
Mailing Address - Phone:919-495-3211
Mailing Address - Fax:
Practice Address - Street 1:340 MERRIMON AVE STE B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1222
Practice Address - Country:US
Practice Address - Phone:828-365-8191
Practice Address - Fax:828-544-1201
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0063561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical