Provider Demographics
NPI:1053669234
Name:SCIARRINO, CARLA
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:SCIARRINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:
Other - Last Name:HAGGARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7380 S EASTERN AVE # 124-178
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-1550
Mailing Address - Country:US
Mailing Address - Phone:424-434-8596
Mailing Address - Fax:
Practice Address - Street 1:7380 S EASTERN AVE # 124-178
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-1550
Practice Address - Country:US
Practice Address - Phone:424-434-8596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 390200000X
CALCSW920601041C0700X
COCSW.099251091041C0700X
NV10567-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program