Natalie Palacios, LCSW

Individual provider Active NPI Clinical Social Worker · Bridgeport, TX

NPI 1306609938 · NPPES record last updated Feb 5, 2024

Key facts

NPI
1306609938
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
62406 (TX)
Practice address
4 Shady Creek LN
Bridgeport, TX 76426-2646
Phone
(817) 841-9462
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
62406TXMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 62406 TX Yes

Addresses

Primary practice location

4 Shady Creek LN
Bridgeport, TX 76426-2646

Mailing address

115 Nottingham Cir
Bridgeport, TX 76426-2125
Phone (469) 442-6889

Other providers in Bridgeport, TX

All providers in Bridgeport, TX · Clinical Social Worker in Texas

Sources for this page

Verify at the official NPI Registry.