Provider Demographics
NPI:1790567899
Name:SEIDLINGER, DANA J (LMSW, CSW-I)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:J
Last Name:SEIDLINGER
Suffix:
Gender:F
Credentials:LMSW, CSW-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9999 W KATIE AVE UNIT 1072
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8349
Mailing Address - Country:US
Mailing Address - Phone:775-527-4774
Mailing Address - Fax:
Practice Address - Street 1:9999 W KATIE AVE UNIT 1072
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8349
Practice Address - Country:US
Practice Address - Phone:775-527-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10015-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker