Provider Demographics
NPI:1033326962
Name:SINKOVEC, JUDITH BARG (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:BARG
Last Name:SINKOVEC
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JUDITH
Other - Middle Name:MARIE
Other - Last Name:BARG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:11018 MIMOSA LEAF CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-4570
Mailing Address - Country:US
Mailing Address - Phone:619-227-3274
Mailing Address - Fax:
Practice Address - Street 1:11018 MIMOSA LEAF CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-4570
Practice Address - Country:US
Practice Address - Phone:619-227-3274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2011-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS117431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW11743AMedicare ID - Type UnspecifiedLCSW