Provider Demographics
NPI:1912774878
Name:MASON, STEVEN ALAN (MSW)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ALAN
Last Name:MASON
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 W KING ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4203
Mailing Address - Country:US
Mailing Address - Phone:775-781-6585
Mailing Address - Fax:
Practice Address - Street 1:309 W KING ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4203
Practice Address - Country:US
Practice Address - Phone:775-781-6585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator