Shana Quinn Bachus, BASW
Individual provider Active NPI Social Worker · Las Vegas, NV
NPI 1003115643 · NPPES record last updated Mar 22, 2011
Key facts
- NPI
- 1003115643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 225400000X (NV)
- Practice address
- 4801 Spencer St Apt 158
Las Vegas, NV 89119-6263 - Phone
- (702) 202-5680
- NPI assigned
- Mar 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225400000X | NV | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 225400000X | NV | Yes |
Addresses
Primary practice location
4801 Spencer St Apt 158
Las Vegas, NV 89119-6263
Mailing address
PO Box 27794
Las Vegas, NV 89126-1794
Phone (702) 202-5680
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.