Healthcare Provider Details

I. General information

NPI: 1508339441
Provider Name (Legal Business Name): KAMERON DANIELS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2019
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1887 WHITNEY MESA DR STE 1221
HENDERSON NV
89014-2069
US

IV. Provider business mailing address

1887 WHITNEY MESA DR STE 1221
HENDERSON NV
89014-2069
US

V. Phone/Fax

Practice location:
  • Phone: 702-550-9079
  • Fax: 833-334-0273
Mailing address:
  • Phone: 702-550-9079
  • Fax: 833-334-0273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11088-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: