Lacy Holliday Adeyanju, LCSW
Individual provider Active NPI Clinical Social Worker · North Las Vegas, NV
NPI 1134535800 · NPPES record last updated Feb 3, 2023
Key facts
- NPI
- 1134535800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8116-C (NV)
- Practice address
- 6900 N Pecos Rd
North Las Vegas, NV 89086-4400 - Phone
- (702) 768-7407
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 8116-C | NV | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8116-C | NV | Yes |
Addresses
Primary practice location
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Mailing address
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone (702) 791-9000
Other names
- Lacy Leigh Holliday
Other providers in North Las Vegas, NV
- Megan K. Adams
- Michelle Adams
- Myles Adamson
- Adetayo Adeloye
- Dayo Peter Adeloye
- Carmen Nayelli Adkins
- Adoni Non Emergency Transportation
- Adult Comfort and Care Home LLC
- Adult Rehabilitation Program the Salvation Army
- Advance Care Counseling Center,LLC
All providers in North Las Vegas, NV · Clinical Social Worker in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2023. 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.