Provider Demographics
NPI:1851907547
Name:LAMPAYA, CRISTA JANELLE VICENTE (LMSW, CSW-INTERN)
Entity Type:Individual
Prefix:
First Name:CRISTA JANELLE
Middle Name:VICENTE
Last Name:LAMPAYA
Suffix:
Gender:F
Credentials:LMSW, CSW-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 E TROPICANA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-6517
Mailing Address - Country:US
Mailing Address - Phone:702-898-5311
Mailing Address - Fax:
Practice Address - Street 1:1515 E TROPICANA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6517
Practice Address - Country:US
Practice Address - Phone:702-898-5311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-18
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker