Provider Demographics
NPI:1124032214
Name:VILLALOBOS, ELSA IVONNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELSA
Middle Name:IVONNE
Last Name:VILLALOBOS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1771 E FLAMINGO RD STE 120A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-0837
Mailing Address - Country:US
Mailing Address - Phone:702-318-7550
Mailing Address - Fax:
Practice Address - Street 1:1771 E FLAMINGO RD STE 120A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-0837
Practice Address - Country:US
Practice Address - Phone:702-318-7550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4911-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical