Provider Demographics
NPI:1033992037
Name:HORN, MICHAEL A JR (LMSW, CSW INTERN)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:A
Last Name:HORN
Suffix:JR
Gender:M
Credentials:LMSW, CSW INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1785 E. SAHARA AVE., STE 145
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3713
Mailing Address - Country:US
Mailing Address - Phone:702-486-4349
Mailing Address - Fax:702-486-5758
Practice Address - Street 1:1785 E. SAHARA AVE., STE 145
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3713
Practice Address - Country:US
Practice Address - Phone:702-486-4349
Practice Address - Fax:702-486-5758
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4357-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker