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NPI Code Detail

MEDICARE: MRS. MARIA MICHELLE ABDO LCSW

MEDICARE: MRS. MARIA MICHELLE ABDO 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
11041C0700XClinical Social Worker5896-CNV

General Provider Information

NPI Number : 1306265202
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA MICHELLE ABDO LCSW
Provider Business Mailing Address
First Line : 7000 SPRING MOUNTAIN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3816
Country : US
Telephone Number : 702-322-1902
Fax Number : 702-873-2710
Provider Business Practice Location Address
First Line : 7000 SPRING MOUNTAIN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3816
Country : US
Telephone Number : 702-322-1902
Fax Number : 702-873-2710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2014
Last Update Date : 04/08/2014

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