MEDICARE: MS. LINDA W SIMS MSW LCSW LADC

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	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker	2841C	NV
3	101YM0800X	Mental Health Counselor	2841-C

General Provider Information

NPI Number	:	1427141738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA W SIMS MSW LCSW LADC

Provider Business Mailing Address
First Line	:	4312 YORKWOOD DRIVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032
Country	:	US
Telephone Number	:	702-395-1447
Fax Number	:

Provider Business Practice Location Address
First Line	:	912 W OWENS
Second Line	:	VA OF SOUTHERN NEVADA
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89036
Country	:	US
Telephone Number	:	702-395-1447
Fax Number	:

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	09/23/2022

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