Provider Demographics
NPI:1720578453
Name:MORFIN-TAPIA, NATALI (LCSW 107403)
Entity type:Individual
Prefix:
First Name:NATALI
Middle Name:
Last Name:MORFIN-TAPIA
Suffix:
Gender:
Credentials:LCSW 107403
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 S ROSE ST
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95240-3435
Mailing Address - Country:US
Mailing Address - Phone:916-668-0202
Mailing Address - Fax:
Practice Address - Street 1:207 S ROSE ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-3435
Practice Address - Country:US
Practice Address - Phone:916-668-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72549104100000X
CA1074031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker