MEDICARE: MRS. SONIA TREFFLICH 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	82541	CA
2	1041C0700X	Clinical Social Worker	57392	TX
3	1041C0700X	Clinical Social Worker	9092-C	NV

General Provider Information

NPI Number	:	1316266497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SONIA TREFFLICH LCSW

Provider Business Mailing Address
First Line	:	3890 W ANN RD STE 100
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-4417
Country	:	US
Telephone Number	:	916-713-3455
Fax Number	:

Provider Business Practice Location Address
First Line	:	3890 W ANN RD STE 100
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-4417
Country	:	US
Telephone Number	:	916-713-3455
Fax Number	:

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

Provider Enumeration Date	:	05/27/2010
Last Update Date	:	01/07/2022

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