Provider Demographics
NPI:1790946804
Name:GARRITY, CLELIA P (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CLELIA
Middle Name:P
Last Name:GARRITY
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 1:2931 RIO RANCHO DR
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-5284
Mailing Address - Country:US
Mailing Address - Phone:775-253-5579
Mailing Address - Fax:
Practice Address - Street 1:2931 RIO RANCHO DR
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-5284
Practice Address - Country:US
Practice Address - Phone:775-253-5579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5307-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical