Alan Paul Raddatz is a Clinical in Las Vegas, Nevada. Alan Paul Raddatz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alan Paul Raddatz is 1194880674. The last update date is 2019-05-21.
Alan Paul Raddatz's current location address is 6960 Obannon Dr Ste 190, Las Vegas, Nevada. You can contact this provider via phone number 7023203180 and fax number 7023203180. The mailing address for Alan Paul Raddatz is 6960 Obannon Dr Ste 190, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
Provider Name | Alan Paul Raddatz |
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Address | 6960 Obannon Dr Ste 190, Las Vegas, Nevada |
Phone Number | 7023203180 |
Fax Number | 7023203180 |
Sole Proprietor | Y |
Credentials | MSW,BCD |
NPI Number Detail
NPI Number | 1194880674 |
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Provider Enumeration Date | 2006-12-26 |
Last Updated Date | 2019-05-21 |
Provider Mailing Address Detail
Address | 6960 Obannon Dr Ste 190 |
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City | Las Vegas |
State | Nevada (NV) |
Post Code | 891172158 |
Phone Number | 7023203180 |
Fax Number | 7023203180 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | SNV LCSW 001 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1194880674 | NV | -- | |
LADC0772L | NV | LICENSED DRUG AND ALCOHOL | |
1041C0700X | NV | LCSW |
Post Comment/ Review Below
What is the unique provider identifier assigned to Alan Paul Raddatz?
The Alan Paul Raddatz has been issued the NPI (National Provider Identifier) 1194880674 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Alan Paul Raddatz is geographically located?
The Alan Paul Raddatz is physically situated at the following location: 6960 Obannon Dr Ste 190, Las Vegas, NV, 891172158.
What is Alan Paul Raddatz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Alan Paul Raddatz is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Alan Paul Raddatz receive its 1194880674 assignment from the Centers for Medicare & Medicaid Services?
The Alan Paul Raddatz was assigned its 1194880674 by the Centers for Medicare & Medicaid Services on 2006-12-26.
As of what date were the details related to Alan Paul Raddatz most recently updated or revised?
The information pertaining to Alan Paul Raddatz, including its address, specialty, and other relevant details, was last updated or revised on 2019-05-21.