Provider Demographics
NPI:1467589135
Name:WELCH, COURTNEY ELIZABETH (MSW, LSW)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:ELIZABETH
Last Name:WELCH
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:MRS
Other - First Name:COURTNEY
Other - Middle Name:ELIZABETH
Other - Last Name:WELCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:745 W MOANA LN STE 100
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4940
Mailing Address - Country:US
Mailing Address - Phone:775-334-3033
Mailing Address - Fax:
Practice Address - Street 1:745 WEST MOANA LANE
Practice Address - Street 2:SUITE 100
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4940
Practice Address - Country:US
Practice Address - Phone:775-334-3033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4665-S104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker