Provider Demographics
NPI:1083340806
Name:WEIDE, ARIANNA KATYA (LMSW, CSW-I)
Entity Type:Individual
Prefix:
First Name:ARIANNA
Middle Name:KATYA
Last Name:WEIDE
Suffix:
Gender:F
Credentials:LMSW, CSW-I
Other - Prefix:MS
Other - First Name:ARIANNA
Other - Middle Name:KATYA
Other - Last Name:WEIDE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW, CSW-I
Mailing Address - Street 1:7939 STORMY FALLS ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-3729
Mailing Address - Country:US
Mailing Address - Phone:702-882-1133
Mailing Address - Fax:
Practice Address - Street 1:7939 STORMY FALLS ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-3729
Practice Address - Country:US
Practice Address - Phone:702-882-1133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8483-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker