Provider Demographics
NPI:1275834152
Name:SEERING, ELISA (LSW)
Entity Type:Individual
Prefix:
First Name:ELISA
Middle Name:
Last Name:SEERING
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2881 VIOLET LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-2406
Mailing Address - Country:US
Mailing Address - Phone:702-771-5143
Mailing Address - Fax:
Practice Address - Street 1:2881 VIOLET LN
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-2406
Practice Address - Country:US
Practice Address - Phone:702-771-5143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5150104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker