NPI 1003673302

Nathan Edward Popham, LCSWLICSW

Practitioner Clinical Social Worker Fruithurst, AL

Practice location

Address: 308 3rd St E, Fruithurst, AL 36262-3751
Phone: (256) 926-8797

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 4618C (AL)

Other Social Worker providers in Alabama →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CSW007489 (GA)

Registry record

NPI: 1003673302
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Mar 2024
Record last updated: 4 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.