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NPI Code Detail

MEDICARE: ALYSON L SHAINKER LCSW

MEDICARE:   ALYSON L SHAINKER  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 WorkerNV

General Provider Information

NPI Number : 1932330404
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSON L SHAINKER LCSW
Provider Business Mailing Address
First Line : 10730 AMBER RIDGE DR UNIT 104
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-4451
Country : US
Telephone Number : 702-810-8400
Fax Number :
Provider Business Practice Location Address
First Line : 7473 W LAKE MEAD BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0265
Country : US
Telephone Number : 702-810-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2009
Last Update Date : 06/11/2015

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Directions to “ ALYSON L SHAINKER LCSW” Practice Location

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