Individual provider · Type 1 NPI

Phyllis Montavon, PSY.D., LCSW, LCADC

Clinical Social Worker · Las Vegas, NV

NPI number 1235364522 Active

Practice location

3450 E Russell Rd Ste 115
Las Vegas, NV 89120-2201

Call (702) 712-5431 Map

Fax (702) 297-6599

Mailing address

5172 Jewel Canyon Dr
Las Vegas, NV 89122-8328

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	LADC - 01322-L (NV)
Clinical Social Worker Primary	1041C0700X	LCSW 7031-C (NV)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1235364522

Phyllis Montavon, PSY.D., LCSW, LCADC's National Provider Identifier is 1235364522, issued on May 15, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 7, 2025.