MEDICARE: ALEXANDER OLAVIDES

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	13214-M	NV

General Provider Information

NPI Number	:	1962334839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER OLAVIDES

Provider Business Mailing Address
First Line	:	7180 CASCADE VALLEY CT STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0481
Country	:	US
Telephone Number	:	702-240-8639
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 SEVEN HILLS DR STE 120
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3011
Country	:	US
Telephone Number	:	702-240-8639
Fax Number	:

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

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ ALEXANDER OLAVIDES ” Practice Location

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