Provider Demographics
NPI:1982374997
Name:FONDELL, NATALIE (LMSW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:FONDELL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 BERTHA ST
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54403-7006
Mailing Address - Country:US
Mailing Address - Phone:715-212-2874
Mailing Address - Fax:
Practice Address - Street 1:607 BERTHA ST
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-7006
Practice Address - Country:US
Practice Address - Phone:715-212-2874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-20
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical