MEDICARE: MR. MICHAEL A. HORN JR. LCSW

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	12541-C	NV

General Provider Information

NPI Number	:	1033992037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL A. HORN JR. LCSW

Provider Business Mailing Address
First Line	:	304 S JONES BLVD STE 3848
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2623
Country	:	US
Telephone Number	:	702-640-7121
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 S JONES BLVD STE 3848
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2623
Country	:	US
Telephone Number	:	702-640-7121
Fax Number	:

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

Provider Enumeration Date	:	08/15/2023
Last Update Date	:	10/31/2025

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