| Bmsc Nv Llc | |
|
4575 Dean Martin Dr Unit 1200 Las Vegas NV 89103-8205 | |
| (702) 403-0438 | |
| Not Available |
| Full Name | Bmsc Nv Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4575 Dean Martin Dr Unit 1200, Las Vegas, Nevada |
| Authorized Official Name and Position | Melanie Elizabeth Donohue (OWNER) |
| Authorized Official Contact | 8552417160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmsc Nv Llc 10204 Bode St Ste B Plainfield IL 60585-9813 Ph: (855) 241-7160 | Bmsc Nv Llc 4575 Dean Martin Dr Unit 1200 Las Vegas NV 89103-8205 Ph: (702) 403-0438 |
| NPI Number | 1245648419 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 05/18/2021 |
| Certification Date | 05/18/2021 |
| Medicare PECOS PAC ID | 0042534182 |
|---|---|
| Medicare Enrollment ID | O20150121001288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245648419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW8327 (Florida) | Primary |
| Provider Name | Debra M Doodkevitch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801027586 PECOS PAC ID: 4082756960 Enrollment ID: I20100115000617 |
| Provider Name | Jennifer Mitzel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295147205 PECOS PAC ID: 7810217544 Enrollment ID: I20150521000129 |
| Provider Name | Claudia M Rockmaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639567241 PECOS PAC ID: 0345556981 Enrollment ID: I20150827002690 |
| Provider Name | Paula K Rudeen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275949661 PECOS PAC ID: 1850609355 Enrollment ID: I20151002001020 |
| Provider Name | Laura A Harrop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437578796 PECOS PAC ID: 3173820073 Enrollment ID: I20160321000562 |
| Provider Name | Melanie Donohue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477613750 PECOS PAC ID: 0547362196 Enrollment ID: I20160428002152 |
| Provider Name | Laurie Gnoyski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457708091 PECOS PAC ID: 2062706765 Enrollment ID: I20160803000950 |
| Provider Name | Yolanda Proulx-vigil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891867107 PECOS PAC ID: 6103109061 Enrollment ID: I20170220001857 |
| Provider Name | Adele Bohenko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518362284 PECOS PAC ID: 2264716596 Enrollment ID: I20170303001161 |
| Provider Name | Victoria M Huangfu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447382627 PECOS PAC ID: 2163746199 Enrollment ID: I20170313002277 |
| Provider Name | Susan Virginia Vallone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124230040 PECOS PAC ID: 7517235807 Enrollment ID: I20170608002441 |
| Provider Name | Sandra Raichart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093019028 PECOS PAC ID: 1052674108 Enrollment ID: I20180424002034 |
| Provider Name | Christine Lindsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346679560 PECOS PAC ID: 1759609548 Enrollment ID: I20180815003704 |
| Provider Name | Laura Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063637486 PECOS PAC ID: 2567713225 Enrollment ID: I20180920000106 |
| Provider Name | Cathy M Battaglia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396080941 PECOS PAC ID: 6800192501 Enrollment ID: I20181012002570 |
| Provider Name | Paul Goshgarian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861521205 PECOS PAC ID: 9931454139 Enrollment ID: I20190307002916 |
| Provider Name | Jada Svoboda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225416571 PECOS PAC ID: 1658691530 Enrollment ID: I20200204000278 |
| Provider Name | Gary Lee Harrel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962544791 PECOS PAC ID: 9931535135 Enrollment ID: I20200206002369 |
| Provider Name | Eric C Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205379278 PECOS PAC ID: 9335556679 Enrollment ID: I20210401001861 |
| Provider Name | Marilyn Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164768032 PECOS PAC ID: 8921274291 Enrollment ID: I20210907000548 |
| Provider Name | James Dean Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366024515 PECOS PAC ID: 6103224761 Enrollment ID: I20211012001699 |
| Provider Name | Melissa Anne Hoskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760738777 PECOS PAC ID: 5193098150 Enrollment ID: I20220630001828 |
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