MEDICARE: MADISON THANH DAO-WHITTEN LMSW, CSW-INTERN

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	104100000X	Social Worker	11503	NV

General Provider Information

NPI Number	:	1861227332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON THANH DAO-WHITTEN LMSW, CSW-INTERN

Provider Business Mailing Address
First Line	:	4025 CHALFONT CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-4851
Country	:	US
Telephone Number	:	702-686-3233
Fax Number	:

Provider Business Practice Location Address
First Line	:	2375 E TROPICANA AVE # 144
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6564
Country	:	US
Telephone Number	:	702-827-4524
Fax Number	:

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

Provider Enumeration Date	:	09/04/2024
Last Update Date	:	09/04/2024

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Directions to “ MADISON THANH DAO-WHITTEN LMSW, CSW-INTERN” Practice Location

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