Gary Duane Brewer, LMSW
Individual provider Active NPI Social Worker · North Las Vegas, NV
NPI 1306324934 · NPPES record last updated Aug 6, 2018
Key facts
- NPI
- 1306324934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6905-S (NV)
- Practice address
- 4344 W Cheyenne Ave
North Las Vegas, NV 89032-2484 - Phone
- (702) 843-6500
- NPI assigned
- Aug 6, 2018
- Sex
- Male
- 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 |
|---|---|---|---|
| 6905-S | NV | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | 6905-S | NV | Yes |
Addresses
Primary practice location
4344 W Cheyenne Ave
North Las Vegas, NV 89032-2484
Mailing address
4966 Tioga Pass Ave
Las Vegas, NV 89139-0121
Phone (623) 363-4835
Other providers in North Las Vegas, NV
- Breaking the Cycle Health and Wellness LLC
- Mariah Breaux
- Breeze Medical Center
- Sharnina Darcia Brent
- Chaz Brewer
- Kamaliha Brewster
- Trisha Brickner
- Bridge of Hope Behavioral Health LLC.
- Bridge the Gap Counseling LLC
- Tyler Bridges
All providers in North Las Vegas, NV · 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 Aug 6, 2018. 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.