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NPI Code Detail

MEDICARE: MRS. KARIN HEIDI METCALF LCSW, ACSW

MEDICARE:  MRS. KARIN HEIDI METCALF  LCSW, ACSW
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
11041C0700XClinical Social Worker34003269AIN
21041C0700XClinical Social Worker8015-CNV

General Provider Information

NPI Number : 1710046115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KARIN HEIDI METCALF LCSW, ACSW
Provider Business Mailing Address
First Line : 2950 S RANCHO DR STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-0740
Country : US
Telephone Number : 702-533-4334
Fax Number : 702-754-5566
Provider Business Practice Location Address
First Line : 2950 S RANCHO DR STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-0740
Country : US
Telephone Number : 702-754-5566
Fax Number : 702-489-5948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 09/14/2018

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Directions to “ MRS. KARIN HEIDI METCALF LCSW, ACSW” Practice Location

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