Provider Demographics
NPI:1003102682
Name:KORIN, KERRI S (BSW, MA)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:S
Last Name:KORIN
Suffix:
Gender:F
Credentials:BSW, MA
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:S
Other - Last Name:MCINALLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW, MA
Mailing Address - Street 1:3155 E. PATRICK LANE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89011
Mailing Address - Country:US
Mailing Address - Phone:702-992-0576
Mailing Address - Fax:702-992-0576
Practice Address - Street 1:3155 E. PATRICK LANE
Practice Address - Street 2:SUITE 1
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89011
Practice Address - Country:US
Practice Address - Phone:702-992-0576
Practice Address - Fax:702-992-0576
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No104100000XBehavioral Health & Social Service ProvidersSocial Worker