Sebastian Moad, LSW | |
4055 Spencer St Ste 118, Las Vegas, NV 89119-5250 | |
(702) 799-9710 | |
Not Available |
Full Name | Sebastian Moad |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 4055 Spencer St Ste 118, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386259745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | IC-1615 (Nevada) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-43908 (Idaho) | Primary |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
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Sebastian Moad, LSW 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Sebastian Moad, LSW 4055 Spencer St Ste 118, Las Vegas, NV 89119-5250 Ph: (702) 799-9710 |
Mrs. Marysol Rezanov, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4170 S Decatur Blvd Ste C1, Las Vegas, NV 89103 Phone: 702-659-8827 Fax: 702-852-0984 | |
Arthur Tabrizi, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6543 Las Vegas Blvd S Unit 200, Las Vegas, NV 89119 Phone: 702-933-9535 | |
Megan Rae Mercado, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9565 Dollardton St, Las Vegas, NV 89139 Phone: 310-634-5506 | |
Mr. David Alexander Sturgeon, CSW-INTERN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7381 Prairie Falcon Rd, Las Vegas, NV 89128 Phone: 702-468-1321 Fax: 702-396-0015 | |
Mrs. Pamela Rinato, LCSW, PSYD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3371 N Buffalo Drive, Las Vegas, NV 89129 Phone: 702-515-1374 Fax: 702-331-3098 | |
Latoyia Kurbane Griffin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 S Rainbow Blvd Unit 82251, Las Vegas, NV 89180 Phone: 702-485-0430 | |
Mr. Gerald R Earl, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3131 La Canada St Ste 216, Las Vegas, NV 89109 Phone: 702-636-3000 |