Provider Demographics
NPI:1831672583
Name:SEMAAN, SABRINA M (LCSW)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:M
Last Name:SEMAAN
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 1:18719 FROST RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-4437
Mailing Address - Country:US
Mailing Address - Phone:248-494-3027
Mailing Address - Fax:
Practice Address - Street 1:4700 LAS VEGAS BLVD N
Practice Address - Street 2:
Practice Address - City:NELLIS AFB
Practice Address - State:NV
Practice Address - Zip Code:89191-6600
Practice Address - Country:US
Practice Address - Phone:702-653-3880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2024-07-30
Deactivation Date:2018-09-05
Deactivation Code:
Reactivation Date:2018-09-10
Provider Licenses
StateLicense IDTaxonomies
MI68010972201041C0700X
TX1129721041C0700X
NV7434-C1041C0700X
NV01420101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)