MEDICARE: ALEXANDRA RENEE LAPLANTE 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	7120-C	NV
2	104100000X	Social Worker	6032-S	NV

General Provider Information

NPI Number	:	1376774711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA RENEE LAPLANTE LCSW

Provider Business Mailing Address
First Line	:	222 S RAINBOW BLVD STE 107
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-5343
Country	:	US
Telephone Number	:	702-378-6092
Fax Number	:	702-786-6911

Provider Business Practice Location Address
First Line	:	222 S RAINBOW BLVD STE 107
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-5343
Country	:	US
Telephone Number	:	702-378-6092
Fax Number	:	702-786-6911

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

Provider Enumeration Date	:	08/03/2009
Last Update Date	:	03/17/2020

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