Basic Information
Provider Information
NPI: 1215190236
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRICKLAND
FirstName: RONALD
MiddleName: W
NamePrefix: DR.
NameSuffix:  
Credential: PH.D, LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3016 W CHARLESTON BLVD STE 150
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891021964
CountryCode: US
TelephoneNumber: 7027902701
FaxNumber: 7027902707
Practice Location
Address1: 3016 W CHARLESTON BLVD STE 150
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891021964
CountryCode: US
TelephoneNumber: 7027902701
FaxNumber: 7027902707
Other Information
ProviderEnumerationDate: 07/09/2008
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X2814-CNVY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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