Provider Demographics
NPI:1427303700
Name:MCMORDIE, ROBERTA (LCSW)
Entity type:Individual
Prefix:
First Name:ROBERTA
Middle Name:
Last Name:MCMORDIE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 VIEW CT
Mailing Address - Street 2:
Mailing Address - City:FERNLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89408-8613
Mailing Address - Country:US
Mailing Address - Phone:775-745-1733
Mailing Address - Fax:
Practice Address - Street 1:2000 VIEW CT
Practice Address - Street 2:
Practice Address - City:FERNLEY
Practice Address - State:NV
Practice Address - Zip Code:89408-8613
Practice Address - Country:US
Practice Address - Phone:775-745-1733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6439-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical