Provider Demographics
NPI:1669281945
Name:MERCADANTE, BRIANNA (LCSW-I, CADC)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:MERCADANTE
Suffix:
Gender:F
Credentials:LCSW-I, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-7327
Mailing Address - Country:US
Mailing Address - Phone:702-271-4928
Mailing Address - Fax:
Practice Address - Street 1:2520 SAINT ROSE PKWY STE 218
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7789
Practice Address - Country:US
Practice Address - Phone:702-763-4452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVIC-26001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical