Camille Frieda Uy Cristobal, LSW
Individual provider Active NPI Social Worker · Las Vegas, NV
NPI 1700527694 · NPPES record last updated Aug 2, 2023
Key facts
- NPI
- 1700527694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6040G (AL)
- Practice address
- 7235 S Buffalo Dr
Las Vegas, NV 89113-4040 - Phone
- (702) 791-9000
- NPI assigned
- Apr 5, 2022
- 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 |
|---|---|---|---|
| 6040G | AL | MD | Social Worker |
| 8218-S | NV | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8218-S | NV | |
| Social Worker | 104100000X | 6040G | AL | Yes |
Addresses
Primary practice location
7235 S Buffalo Dr
Las Vegas, NV 89113-4040
Mailing address
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone (702) 791-9000
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 Aug 2, 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.