Provider Demographics
NPI:1003605288
Name:DEDES, NATALIE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:DEDES
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3449 CANCUN CT
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-5395
Mailing Address - Country:US
Mailing Address - Phone:239-788-4788
Mailing Address - Fax:
Practice Address - Street 1:3449 CANCUN CT
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-5395
Practice Address - Country:US
Practice Address - Phone:239-788-4788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW244591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical