Provider Demographics
NPI:1699080952
Name:CHIGOZIE, NATALIE SUZANNE FRANCES (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:SUZANNE FRANCES
Last Name:CHIGOZIE
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 1:703 BRYAN ST
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-3158
Mailing Address - Country:US
Mailing Address - Phone:919-866-2449
Mailing Address - Fax:
Practice Address - Street 1:703 BRYAN ST
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-3158
Practice Address - Country:US
Practice Address - Phone:919-866-2449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0064471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC006447OtherNORTH CAROLINA SOCIAL WORK CERTIFICATION LICENSURE BOARD