Healthcare Provider Details

I. General information

NPI: 1851541916
Provider Name (Legal Business Name): DOROTHY A. HOWARD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 04/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 W. CHARLESTON BLVD. #C23
LAS VEGAS NV
89102
US

IV. Provider business mailing address

408 ACKERMAN LN
HENDERSON NV
89014-4519
US

V. Phone/Fax

Practice location:
  • Phone: 702-812-8228
  • Fax: 702-438-4673
Mailing address:
  • Phone: 702-451-5248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number975-L
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number00655-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: