Provider Demographics
NPI:1538803515
Name:SCIORTINO, LAUREN J (LMSW)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:J
Last Name:SCIORTINO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5916 MONTANA PEAK AVE # 5916
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-7108
Mailing Address - Country:US
Mailing Address - Phone:201-954-9130
Mailing Address - Fax:
Practice Address - Street 1:3017 W CHARLESTON BLVD STE 54
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1927
Practice Address - Country:US
Practice Address - Phone:702-751-2519
Practice Address - Fax:702-202-0011
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9824-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker