Kathleen Pantaze, LCSW is a
Social Worker - Clinical based in Mesquite, Nevada. Kathleen Pantaze is licensed to practice in Nevada (license number 3013C) and her current practice location is
61 N Willow St, Ste 4, Mesquite, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 346-4696.
NPI number for Kathleen Pantaze is 1215068820 and her current mailing address is 4126 Technology Way, Suite 102, Carson City, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215068820.
Healthcare Provider's Profile
| Full Name | Kathleen Pantaze |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 61 N Willow St, Mesquite, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215068820
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Kathleen Pantaze such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215068820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 845L (Nevada) | Primary |
| 1041C0700X | Social Worker - Clinical | 3013C (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Pantaze is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen Pantaze, LCSW
4126 Technology Way, Suite 102,
Carson City, NV 89706-2009
Ph: (775) 687-7573 | Kathleen Pantaze, LCSW
61 N Willow St, Ste 4,
Mesquite, NV 89027-4785
Ph: (702) 346-4696 |
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