MEDICARE: MAGGIE SANDQUIST MSW, 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	121884	IA
2	1041C0700X	Clinical Social Worker	6658	SD
3	1041C0700X	Clinical Social Worker	66434	MT
4	1041C0700X	Clinical Social Worker	10866-C	NV
5	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1346848066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGGIE SANDQUIST MSW, LCSW

Provider Business Mailing Address
First Line	:	98 E LAKE MEAD PKWY STE 306
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89015-6444
Country	:	US
Telephone Number	:	702-433-3038
Fax Number	:

Provider Business Practice Location Address
First Line	:	98 E LAKE MEAD PKWY STE 306
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89015-6444
Country	:	US
Telephone Number	:	702-433-3038
Fax Number	:

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

Provider Enumeration Date	:	10/14/2020
Last Update Date	:	02/20/2026

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