Provider Demographics
NPI:1962241232
Name:CORONADO, NATALIE FELICIA (LCSW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:FELICIA
Last Name:CORONADO
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 1:4793 S YOUNGFIELD ST
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-1263
Mailing Address - Country:US
Mailing Address - Phone:303-419-5863
Mailing Address - Fax:
Practice Address - Street 1:4793 S YOUNGFIELD ST
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-1263
Practice Address - Country:US
Practice Address - Phone:303-419-5863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical