MEDICARE: MRS. SHANTRIS KAY BARKDULL LSW

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	104100000X	Social Worker	4749-S	NV

General Provider Information

NPI Number	:	1255341855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHANTRIS KAY BARKDULL LSW

Provider Business Mailing Address
First Line	:	9041 GRENACHE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4967
Country	:	US
Telephone Number	:	702-968-5089
Fax Number	:	702-968-5000

Provider Business Practice Location Address
First Line	:	4000 E CHARLESTON BLVD STE B230
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-6682
Country	:	US
Telephone Number	:	702-968-5089
Fax Number	:	702-968-5050

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1720002884 — ANGELA JANET BATES
Practice Location Address:

4000 E. CHARLESTON BLVD. , B-230
LAS VEGAS, NV
89104-6682

Practice Phone: 702-968-5055
Practice Fax: 702-968-5050

1639193790 — MR. MICHAEL T MADAJSKI
Practice Location Address:

4000 E. CHARLESTON BLVD. , B230
LAS VEGAS, NV
89104-6682

Practice Phone: 702-968-5081
Practice Fax:

1265446363 — MR. MALCOLM KELLY STONE LSW
Practice Location Address:

4000 E CHARLESTON BLVD STE B230
LAS VEGAS, NV
89104-6682

Practice Phone: 702-968-5000
Practice Fax: 702-968-5050

1245244821 — MRS. KRISTY GATHING LSW
Practice Location Address:

4000 E CHARLESTON BLVD STE B230 , LAS VEGAS
LAS VEGAS, NV
89104-6682

Practice Phone: 702-968-4009
Practice Fax: 702-968-5050

1639185002 — JANET LANDRY
Practice Location Address:

4000 E CHARLESTON BLVD STE B230
LAS VEGAS, NV
89104-6682

Practice Phone: 702-968-5076
Practice Fax:

1407862337 — LORI ANNE ZWICK LSW
Practice Location Address:

4000 E CHARLESTON BLVD STE B230
LAS VEGAS, NV
89104-6682

Practice Phone: 702-968-4015
Practice Fax:

Directions to “ MRS. SHANTRIS KAY BARKDULL LSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.