MEDICARE: JULIA MICHELLE-LOPEZ WINKEL 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	11168-C	NV

General Provider Information

NPI Number	:	1548937725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA MICHELLE-LOPEZ WINKEL LCSW

Provider Business Mailing Address
First Line	:	10638 W GILMORE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6487
Country	:	US
Telephone Number	:	702-888-0250
Fax Number	:

Provider Business Practice Location Address
First Line	:	2320 PASEO DEL PRADO STE B208
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4332
Country	:	US
Telephone Number	:	702-685-0877
Fax Number	:	702-749-5922

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

Provider Enumeration Date	:	08/25/2021
Last Update Date	:	12/12/2023

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