MEDICARE: VALERIE PAULINO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	12478-C	NV
2	174400000X	Specialist

General Provider Information

NPI Number	:	1013591932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE PAULINO

Provider Business Mailing Address
First Line	:	5919 SANDRA FIELD CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-5030
Country	:	US
Telephone Number	:	650-302-0548
Fax Number	:

Provider Business Practice Location Address
First Line	:	6171 W CHARLESTON BLVD # 17
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-1126
Country	:	US
Telephone Number	:	702-486-8948
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2021
Last Update Date	:	12/10/2025

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Directions to “ VALERIE PAULINO ” Practice Location

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