Provider Demographics
NPI:1699490425
Name:LOMAN, NATASHA L (MSW, SWLC)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:L
Last Name:LOMAN
Suffix:
Gender:F
Credentials:MSW, SWLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 HOMESTEAD DR
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-1255
Mailing Address - Country:US
Mailing Address - Phone:406-207-6273
Mailing Address - Fax:
Practice Address - Street 1:1720 HOMESTEAD DR
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1255
Practice Address - Country:US
Practice Address - Phone:406-207-6273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-SWLC-LIC-566531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical