Provider Demographics
NPI:1285910075
Name:GLASPER-SATTWHITE, JACQUELINE (BS,MBA,LCSW)
Entity type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:
Last Name:GLASPER-SATTWHITE
Suffix:
Gender:F
Credentials:BS,MBA,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 N MARTIN L KING BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-7676
Mailing Address - Country:US
Mailing Address - Phone:702-444-0235
Mailing Address - Fax:702-992-3505
Practice Address - Street 1:3925 N MARTIN L KING BLVD STE 212
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-7676
Practice Address - Country:US
Practice Address - Phone:702-444-0235
Practice Address - Fax:702-992-3505
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-25
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NV9028-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1285910075OtherPRIVATE PRACTICE