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NPI Code Detail

MEDICARE: ALISA ANN SOCASH

MEDICARE: ALISA ANN SOCASH
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 Worker6045-CNV

General Provider Information

NPI Number : 1841556339
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISA ANN SOCASH
Provider Business Mailing Address
First Line : 2775 S JONES BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5632
Country : US
Telephone Number : 702-685-3300
Fax Number : 702-586-3333
Provider Business Practice Location Address
First Line : 2775 S JONES BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5632
Country : US
Telephone Number : 702-685-3300
Fax Number : 702-586-3333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2012
Last Update Date : 06/01/2021

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