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NPI Code Detail

MEDICARE: SANDRA SIMANTON LCSW

MEDICARE: SANDRA SIMANTON 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 Worker7449-CNV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992938385
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA SIMANTON LCSW
Provider Business Mailing Address
First Line : 8945 W RUSSELL RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1225
Country : US
Telephone Number : 702-476-9294
Fax Number :
Provider Business Practice Location Address
First Line : 8945 W RUSSELL RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1225
Country : US
Telephone Number : 702-476-9294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2009
Last Update Date : 02/16/2024

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Directions to “ SANDRA SIMANTON LCSW” Practice Location

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