MEDICARE: MR. ALAN PAUL RADDATZ MSW,BCD

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	SNV LCSW 00131-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
2	LADC0772L	OTHER	NV	LICENSED DRUG AND ALCOHOL
3	1041C0700X	OTHER	NV	LCSW

General Provider Information

NPI Number	:	1194880674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALAN PAUL RADDATZ MSW,BCD

Provider Business Mailing Address
First Line	:	6960 OBANNON DR STE 190
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2158
Country	:	US
Telephone Number	:	702-320-3180
Fax Number	:	702-320-3180

Provider Business Practice Location Address
First Line	:	6960 OBANNON DR STE 190
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117
Country	:	US
Telephone Number	:	702-320-3180
Fax Number	:	702-320-3180

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

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	05/21/2019

Similar Medicare Providers

1386316305 — POINT PLACE WELLNESS GROUP
Practice Location Address:

8670 SPRING MOUNTAIN RD STE 101
LAS VEGAS, NV
89117-4102

Practice Phone: 702-328-4634
Practice Fax:

1194650853 — ROSHAE R WLSON
Practice Location Address:

2575 MONTESSOURI ST STE 201
LAS VEGAS, NV
89117-3060

Practice Phone: 702-207-2526
Practice Fax:

1134825441 — DARLENE RENEE ZEPP
Practice Location Address:

2400 S CIMARRON RD STE 100
LAS VEGAS, NV
89117-7902

Practice Phone: 725-257-3983
Practice Fax:

1710812102 — ZOE N JOHNSON
Practice Location Address:

2575 MONTESSOURI ST STE 201
LAS VEGAS, NV
89117-3060

Practice Phone: 702-207-2526
Practice Fax:

1811600265 — MENTAL HEALTH CARE PLLC
Practice Location Address:

8687 W SAHARA AVE STE 201
LAS VEGAS, NV
89117-5869

Practice Phone: 702-867-8877
Practice Fax: 702-966-8089

1962063339 — DR. MICHELLE ZOCHOWSKI-TULLIO PHD
Practice Location Address:

8687 W SAHARA AVE STE 201
LAS VEGAS, NV
89117-5869

Practice Phone: 702-867-8877
Practice Fax: 702-966-8089

1174389126 — ALLISON MARTONE
Practice Location Address:

2400 S CIMARRON RD STE 100
LAS VEGAS, NV
89117-7902

Practice Phone: 725-257-3983
Practice Fax:

Directions to “ MR. ALAN PAUL RADDATZ MSW,BCD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.