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NPI Code Detail

MEDICARE: MS. SABRINA DANIELLE HERRERA MSW, LSW, CSW-INTERN

MEDICARE: MS. SABRINA DANIELLE HERRERA MSW, LSW, 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
1104100000XSocial Worker6624-MNV
2225400000XRehabilitation Practitioner
31041C0700XClinical Social WorkerIC-2598NV

General Provider Information

NPI Number : 1932419835
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SABRINA DANIELLE HERRERA MSW, LSW, CSW-INTERN
Provider Business Mailing Address
First Line : 669 PORCHTOWN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-4057
Country : US
Telephone Number : 702-629-9251
Fax Number :
Provider Business Practice Location Address
First Line : 669 PORCHTOWN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-4057
Country : US
Telephone Number : 702-629-9251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2010
Last Update Date : 12/02/2025

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