MEDICARE: PRISCILLA VERNICE OTOO-ADJORLOLO MSW, 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	8338-C	NV
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	00175-LC INTERN	NV
3	104100000X	Social Worker	7406-S	NV
4	101YM0800X	Mental Health Counselor	00175-LC INTERN	NV
5	1041C0700X	Clinical Social Worker	IC-1101 CSW INTERN	NV

General Provider Information

NPI Number	:	1780887463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRISCILLA VERNICE OTOO-ADJORLOLO MSW, LCSW

Provider Business Mailing Address
First Line	:	2785 E DESERT INN RD STE 280
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3623
Country	:	US
Telephone Number	:	702-370-7842
Fax Number	:	775-300-7621

Provider Business Practice Location Address
First Line	:	2785 E DESERT INN RD STE 280
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3623
Country	:	US
Telephone Number	:	702-370-7842
Fax Number	:	775-437-5349

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

Provider Enumeration Date	:	06/08/2007
Last Update Date	:	12/29/2025

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