MEDICARE: MRS. ALEJANDRA SIMENTAL LCSW-I

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	7547-M	NV

General Provider Information

NPI Number	:	1073336608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALEJANDRA SIMENTAL LCSW-I

Provider Business Mailing Address
First Line	:	6479 MOUNT PALOMAR AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-7205
Country	:	US
Telephone Number	:	702-885-8925
Fax Number	:

Provider Business Practice Location Address
First Line	:	6479 MOUNT PALOMAR AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-7205
Country	:	US
Telephone Number	:	702-885-8925
Fax Number	:

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

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	11/07/2024

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