Stacy Michele Barrett, LSW
Individual provider Active NPI Social Worker · Las Vegas, NV
NPI 1629318134 · NPPES record last updated Feb 20, 2013
Key facts
- NPI
- 1629318134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 4585-S (NV)
- Practice address
- 7516 Coral River Dr
Las Vegas, NV 89131-2642 - Phone
- (702) 400-2552
- NPI assigned
- Feb 20, 2013
- 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 |
|---|---|---|---|
| 4585-S | NV | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4585-S | NV | Yes |
Addresses
Primary practice location
7516 Coral River Dr
Las Vegas, NV 89131-2642
Mailing address
7516 Coral River Dr
Las Vegas, NV 89131-2642
Phone (702) 400-2552
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 Feb 20, 2013. 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.