Provider Demographics
NPI:1780887463
Name:OTOO-ADJORLOLO, PRISCILLA VERNICE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:VERNICE
Last Name:OTOO-ADJORLOLO
Suffix:
Gender:
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S MARYLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-7206
Mailing Address - Country:US
Mailing Address - Phone:702-802-5432
Mailing Address - Fax:
Practice Address - Street 1:401 S MARYLAND PKWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-7206
Practice Address - Country:US
Practice Address - Phone:702-802-5432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00175-LC INTERN101YA0400X, 101YM0800X
NV7406-S104100000X
NVIC-1101 CSW INTERN1041C0700X
NV8338-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker