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Katelin Provost, LCSW

Social Worker, Clinical in Henderson, NV. Individual provider (NPI-1).

NPI number1982153722
StatusActive
Last updated in NPPESJan 21, 2026

Details

NPI
1982153722
Entity type
Individual (NPI-1)
Name
Katelin Provost
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 21, 2016
Certification date
Jan 21, 2026
Last updated
Jan 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical12935-CNVYes

Practice location

37 S Water St Ste 200
Henderson, NV 89015-7222

Phone 702-823-4300

Mailing address

37 S Water St
Henderson, NV 89015-7222

Phone 702-823-4300 · Fax 702-462-2223

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