MEDICARE: MS. PAIGE ANNE CHASTAIN 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	101YA0400X	Addiction (Substance Use Disorder) Counselor	06674-C	NV
2	104100000X	Social Worker	IC-2620	NV

General Provider Information

NPI Number	:	1952942617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAIGE ANNE CHASTAIN LCSW

Provider Business Mailing Address
First Line	:	7818 TAY RIVER COURT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166
Country	:	US
Telephone Number	:	802-829-3505
Fax Number	:

Provider Business Practice Location Address
First Line	:	1830 E SAHARA AVE FL 2
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3737
Country	:	US
Telephone Number	:	702-608-9491
Fax Number	:

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

Provider Enumeration Date	:	10/03/2019
Last Update Date	:	03/07/2025

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