Provider Demographics
NPI:1902057649
Name:BURTON, NATASHA M (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:M
Last Name:BURTON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 SPRINGS RD # 217
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-5555
Mailing Address - Country:US
Mailing Address - Phone:707-656-3052
Mailing Address - Fax:
Practice Address - Street 1:1830 SPRINGS RD # 217
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-5555
Practice Address - Country:US
Practice Address - Phone:707-656-3052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60801104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker