Provider Demographics
NPI:1174944508
Name:TOBIAS, NATALIE J (MSW/LSW)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:J
Last Name:TOBIAS
Suffix:
Gender:F
Credentials:MSW/LSW
Other - Prefix:MISS
Other - First Name:NATALIE
Other - Middle Name:J
Other - Last Name:KOVAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:543 SOUTH 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526
Mailing Address - Country:US
Mailing Address - Phone:484-529-2627
Mailing Address - Fax:
Practice Address - Street 1:716 NORTH PARK ROAD
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610
Practice Address - Country:US
Practice Address - Phone:610-375-0544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-03
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW135045104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker