Jenner Tatz, LMSW
Social Worker in Las Vegas, NV. Individual provider (NPI-1).
NPI number1104640697
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1104640697
- Entity type
- Individual (NPI-1)
- Name
- Jenner Tatz
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 11, 2024
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 11884-M | NV | Yes |
| 1041C0700X | Social Worker, Clinical | IC-2575 | NV |
Practice location
5426 Vegas DrLas Vegas, NV 89108-2403
Phone 702-806-5268
Mailing address
5426 Vegas DrLas Vegas, NV 89108-2403
Other practice locations
5426 Vegas Dr Ste A
Las Vegas, NV 89108-2403
Las Vegas, NV 89108-2403
Phone 702-806-5268
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