MEDICARE: SHEILA PREWITT

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

General Provider Information

NPI Number	:	1255877494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA PREWITT

Provider Business Mailing Address
First Line	:	6275 BOULDER HWY
Second Line	:	APT 1028
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-7462
Country	:	US
Telephone Number	:	470-535-5560
Fax Number	:

Provider Business Practice Location Address
First Line	:	6275 BOULDER HWY
Second Line	:	APT 1028
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-7462
Country	:	US
Telephone Number	:	470-535-5560
Fax Number	:

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

Provider Enumeration Date	:	01/11/2017
Last Update Date	:	01/04/2026

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Directions to “ SHEILA PREWITT ” Practice Location

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