Deja Rachelle Ethel Fuimaono, MSW, LCSW
Social Worker, Clinical in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1497028682
StatusActive
Last updated in NPPESMar 6, 2025
Details
- NPI
- 1497028682
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Deja Rachelle Ethel Fuimaono
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 17, 2012
- Certification date
- Feb 19, 2025
- Last updated
- Mar 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 8661-C | NV | Yes |
| 253J00000X | Foster Care Agency | – | – |
Other names
- Deja Rachelle Ethel Edwards (Former Name)
Practice location
570 W Cheyenne Ave Ste 190North Las Vegas, NV 89030-3983
Phone 702-350-1898
Mailing address
8321 Bello Circonda AveLas Vegas, NV 89178-8257
Phone 702-350-1898
Other practice locations
7836 W Sahara Ave
Las Vegas, NV 89117-1944
Las Vegas, NV 89117-1944
Phone 702-499-4922
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