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NPI Code Detail

MEDICARE: MS. KARINA PONCE LMSW, CSW-I

MEDICARE: MS. KARINA PONCE LMSW, CSW-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
1225400000XRehabilitation Practitioner
21041C0700XClinical Social Worker12588-MNV

General Provider Information

NPI Number : 1689481343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KARINA PONCE LMSW, CSW-I
Provider Business Mailing Address
First Line : 6402 MCLEOD DR STE 5
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4406
Country : US
Telephone Number : 725-204-8809
Fax Number :
Provider Business Practice Location Address
First Line : 6402 MCLEOD DR STE 5
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4406
Country : US
Telephone Number : 725-204-8809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2024
Last Update Date : 12/29/2025

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