Individual provider · Type 1 NPI

Stefanie Nicole Marissa Cullum

Clinical Social Worker · Henderson, NV

NPI number 1699361527 Active

Practice location

2520 Saint Rose Pkwy Ste 306
Henderson, NV 89074-7790

Call (702) 755-2578 Map

Mailing address

7053 Placid Lake Ave
Las Vegas, NV 89179-1524

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Mental Health Counselor 101YM0800XNone listed

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 1699361527

Stefanie Nicole Marissa Cullum's National Provider Identifier is 1699361527, issued on Dec 15, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Henderson, NV. The record was last updated on Dec 15, 2020.