MEDICARE: KAREN HASTINGS LCSW

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	5123-C	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083663587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN HASTINGS LCSW

Provider Business Mailing Address
First Line	:	6547 BRYCE WOODLANDS ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4301
Country	:	US
Telephone Number	:	702-505-5339
Fax Number	:

Provider Business Practice Location Address
First Line	:	1489 W WARM SPRINGS RD
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-7635
Country	:	US
Telephone Number	:	702-253-1173
Fax Number	:	702-253-1468

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	01/28/2009

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