Provider Demographics
NPI:1902265853
Name:SERRANO, NATASHA (MSW,LCSW)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:SERRANO
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 1:524 GIA CIR APT 2
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018-1029
Mailing Address - Country:US
Mailing Address - Phone:215-873-5455
Mailing Address - Fax:
Practice Address - Street 1:524 GIA CIR APT 2
Practice Address - Street 2:
Practice Address - City:CLIFTON HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:19018-1029
Practice Address - Country:US
Practice Address - Phone:215-873-5455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-21
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW190901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical