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NPI Code Detail

MEDICARE: SARA HERNANDEZ-MOYA LCSW

MEDICARE:   SARA  HERNANDEZ-MOYA  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
11041C0700XClinical Social Worker8518-CNV

General Provider Information

NPI Number : 1881066512
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA HERNANDEZ-MOYA LCSW
Provider Business Mailing Address
First Line : 5426 VEGAS DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-2403
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5426 VEGAS DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-2403
Country : US
Telephone Number : 702-806-5268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2015
Last Update Date : 01/09/2020

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Directions to “ SARA HERNANDEZ-MOYA LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.