MEDICARE: MRS. AIMEE FITCH 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	9100-C	NV

General Provider Information

NPI Number	:	1598189193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AIMEE FITCH LCSW

Provider Business Mailing Address
First Line	:	1825 PINION RD STE A
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89801-8319
Country	:	US
Telephone Number	:	775-738-8021
Fax Number	:	775-738-8842

Provider Business Practice Location Address
First Line	:	1825 PINION RD STE A
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89801-8319
Country	:	US
Telephone Number	:	775-738-8021
Fax Number	:	775-738-8842

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

Provider Enumeration Date	:	02/18/2014
Last Update Date	:	04/29/2024

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