Provider Demographics
NPI:1992466148
Name:MOORE-BEMBRY, NATALIE N (EDD, LCSW)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:N
Last Name:MOORE-BEMBRY
Suffix:
Gender:F
Credentials:EDD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 EXETER CT
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-4551
Mailing Address - Country:US
Mailing Address - Phone:609-209-3655
Mailing Address - Fax:
Practice Address - Street 1:535 ROUTE 38 STE 128D
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2953
Practice Address - Country:US
Practice Address - Phone:609-534-0662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-09
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC060487001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical