Provider Demographics
NPI:1427723923
Name:PANKAU, NATALIE ALLISON (LCSW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ALLISON
Last Name:PANKAU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:OSCHWALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9310 ALDERGATE WAY APT 4207
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-4424
Mailing Address - Country:US
Mailing Address - Phone:217-766-6504
Mailing Address - Fax:
Practice Address - Street 1:412A POST AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:TN
Practice Address - Zip Code:37777-6223
Practice Address - Country:US
Practice Address - Phone:865-336-4017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical