Debra G. Waldman, LMSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DEBRA G. WALDMAN, LMSW, LCSW

Practice address

410 S Rampart Blvd Ste 390
Las Vegas, NV 89145-5749

Phone

(124) 879-7371

Fax

(702) 795-4141

NPI assigned

Sep 22, 2020

Last updated

Oct 15, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie M Shelton

Title

Credentialing Manager

Phone

(702) 503-8576

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1942816129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34601",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891334601",
            "telephone_number": "702-277-9426",
            "fax_number": "702-795-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S RAMPART BLVD STE 390",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455749",
            "telephone_number": "124-879-7371",
            "fax_number": "702-795-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA G. WALDMAN, LMSW, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "702-503-8576"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.