MEDICARE: MICHELLE ANNE BEHRMANN 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	149.016741	IL
2	1041C0700X	Clinical Social Worker	6926 C	NV

General Provider Information

NPI Number	:	1730562836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ANNE BEHRMANN LCSW

Provider Business Mailing Address
First Line	:	6027 LINOSA CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-3903
Country	:	US
Telephone Number	:	616-403-6212
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 W. CHEYENNE AVE
Second Line	:	SUITE 100
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-8903
Country	:	US
Telephone Number	:	702-636-8729
Fax Number	:

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

Provider Enumeration Date	:	07/07/2015
Last Update Date	:	02/23/2024

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Directions to “ MICHELLE ANNE BEHRMANN LCSW” Practice Location

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