Individual provider Active NPI

Natalie David, LCSW

  • Clinical Social Worker
  • Rolling Hills, CA
National Provider Identifier
1235580853
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21346 Issued in CA
Practice address
3 Buckboard LN
Rolling Hills, CA 90274-5235
Phone
(310) 377-1340
NPI assigned
Jun 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21346 CA Primary

Addresses

Primary practice location

3 Buckboard LN
Rolling Hills, CA 90274-5235

Mailing address

3 Buckboard LN
Rolling Hills, CA 90274-5235
Phone (310) 377-1340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425003138 NC Practitioner - Clinical Social Worker 7012357957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1904 Eastwood Rd
Suite 313
Wilmington, NC 28403-5728
Phone (424) 233-6175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Wellness Group, PC CurrentSince Feb 2, 2024 Accepting new patients

Locations

1904 Eastwood Rd
Ste 313
Wilmington, NC 28403
Phone (424) 233-6175

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1235580853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BUCKBOARD LN",
            "city": "ROLLING HILLS",
            "state": "CA",
            "postal_code": "902745235",
            "telephone_number": "310-377-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BUCKBOARD LN",
            "city": "ROLLING HILLS",
            "state": "CA",
            "postal_code": "902745235",
            "telephone_number": "310-377-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "NATALIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills, CA

Sources for this page

Verify at the official NPI Registry.