Kavita K. Kanoza | Las Vegas, NV • PECOS Search

Kavita K. Kanoza

Social Worker

Behavioral Health & Social Service Providers

4580 S Eastern Ave Ste 33, Las Vegas, NV 89119-6100

PECOS Enrollment

Based on the most recent information from CMS, provider Kavita K. Kanoza does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1871891879
Provider Type
Individual
Full Name
Kanoza, Kavita K.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/1/2011
Last Updated
2/11/2022

Contact Information

Practice Location

4580 S Eastern Ave Ste 33, Las Vegas, NV 89119-6100

Unlisted Fax

Mailing Location

17 Reyburn Dr, Henderson, NV 89074-3347

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 7052-C Nevada