MEDICARE: MRS. MELISSA FAYE WEBB L.C.S.W.

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	5480-C	NV

General Provider Information

NPI Number	:	1811142664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA FAYE WEBB L.C.S.W.

Provider Business Mailing Address
First Line	:	1515 E TROPICANA AVE STE 580
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6517
Country	:	US
Telephone Number	:	702-290-2625
Fax Number	:	702-222-3275

Provider Business Practice Location Address
First Line	:	1515 E TROPICANA AVE STE 580
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6517
Country	:	US
Telephone Number	:	702-290-2625
Fax Number	:	702-222-3275

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

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	07/28/2020

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