MEDICARE: BARBARA JANE CASPY 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	01089-C	NV

General Provider Information

NPI Number	:	1821018151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA JANE CASPY LCSW

Provider Business Mailing Address
First Line	:	1350 E FLAMINGO RD PMB 415
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5293
Country	:	US
Telephone Number	:	702-401-1871
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 E FLAMINGO RD
Second Line	:	STE 261
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-0831
Country	:	US
Telephone Number	:	702-401-1871
Fax Number	:

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/21/2022

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