Kori Detmer, CSW-INTERN - Clinical Social Worker in Las Vegas, NV

Kori Detmer, CSW-INTERN is a Social Worker - Clinical based in Las Vegas, Nevada. Kori Detmer is licensed to practice in Nevada (license number IC-708) and her current practice location is 4000 E Charleston Blvd Ste 130, Las Vegas, Nevada. She can be reached at her office (for appointments etc.) via phone at (702) 968-4000.

NPI number for Kori Detmer is 1235438086 and her current mailing address is 4000 E Charleston Blvd Ste 130, Las Vegas, Nevada. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235438086.

Contact Information

Kori Detmer, CSW-INTERN
4000 E Charleston Blvd Ste 130,
Las Vegas, NV 89104-6681
(702) 968-4000
(702) 968-4040



Healthcare Provider's Profile

Full NameKori Detmer
GenderFemale
SpecialitySocial Worker - Clinical
Location4000 E Charleston Blvd Ste 130, Las Vegas, Nevada
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235438086
  • Provider Enumeration Date: 03/18/2011
  • Last Update Date: 11/14/2011

Medical Identifiers

Medical identifiers for Kori Detmer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235438086NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical IC-708 (Nevada)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kori Detmer is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kori Detmer, CSW-INTERN
4000 E Charleston Blvd Ste 130,
Las Vegas, NV 89104-6681

Ph: (702) 968-4000
Kori Detmer, CSW-INTERN
4000 E Charleston Blvd Ste 130,
Las Vegas, NV 89104-6681

Ph: (702) 968-4000

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› Verified 3 days ago


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