Provider Demographics
NPI:1548338460
Name:KAUFMAN, NATHALIE L (MSW)
Entity type:Individual
Prefix:MRS
First Name:NATHALIE
Middle Name:L
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 LANGLEY ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-4034
Mailing Address - Country:US
Mailing Address - Phone:508-674-5448
Mailing Address - Fax:
Practice Address - Street 1:404 LANGLEY ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-4034
Practice Address - Country:US
Practice Address - Phone:508-674-5448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA105206101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA105206OtherMASS. LICENSE (LICSW)