Provider Demographics
NPI:1851541916
Name:HOWARD, DOROTHY A (LCSW)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:A
Last Name:HOWARD
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 1:408 ACKERMAN LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-4519
Mailing Address - Country:US
Mailing Address - Phone:702-451-5248
Mailing Address - Fax:
Practice Address - Street 1:2820 W. CHARLESTON BLVD.
Practice Address - Street 2:#C23
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102
Practice Address - Country:US
Practice Address - Phone:702-812-8228
Practice Address - Fax:702-438-4673
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV975-L101YA0400X
NV00655-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)