Provider Demographics
NPI:1932274032
Name:NATTER, ADELE E (MSW)
Entity type:Individual
Prefix:MS
First Name:ADELE
Middle Name:E
Last Name:NATTER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4750 41ST ST NW
Mailing Address - Street 2:# 206
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-1718
Mailing Address - Country:US
Mailing Address - Phone:202-244-9646
Mailing Address - Fax:202-244-9647
Practice Address - Street 1:3930 KNOWLES AVE
Practice Address - Street 2:SUITE # 200
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2428
Practice Address - Country:US
Practice Address - Phone:301-509-4848
Practice Address - Fax:301-949-0677
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD018951041C0700X
DCLC500778311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
80230001OtherCAREFIRST BCBS
085799Medicare ID - Type Unspecified