| Debra G. Waldman, Lmsw, Lcsw | |
|
410 S Rampart Blvd Ste 390 Las Vegas NV 89145-5749 | |
| (124) 879-7371 | |
| (702) 795-4141 |
| Full Name | Debra G. Waldman, Lmsw, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 410 S Rampart Blvd Ste 390, Las Vegas, Nevada |
| Authorized Official Name and Position | Stephanie M Shelton (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7025038576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra G. Waldman, Lmsw, Lcsw Po Box 34601 Las Vegas NV 89133-4601 Ph: (702) 277-9426 | Debra G. Waldman, Lmsw, Lcsw 410 S Rampart Blvd Ste 390 Las Vegas NV 89145-5749 Ph: (124) 879-7371 |
| NPI Number | 1942816129 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 10/15/2020 |
| Certification Date | 10/15/2020 |
| Medicare PECOS PAC ID | 3678993458 |
|---|---|
| Medicare Enrollment ID | O20201016000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942816129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Debra G Waldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609146497 PECOS PAC ID: 5698934404 Enrollment ID: I20191204003228 |
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