Provider Demographics
NPI:1932387610
Name:CRANDELL, PAULA J (MSW, LSW)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:J
Last Name:CRANDELL
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1290 MILL ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1410
Mailing Address - Country:US
Mailing Address - Phone:775-329-1070
Mailing Address - Fax:775-329-9703
Practice Address - Street 1:1290 MILL ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1410
Practice Address - Country:US
Practice Address - Phone:775-329-1070
Practice Address - Fax:775-329-9703
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2917-S104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker