Provider Demographics
NPI:1205379278
Name:MASON, ERIC C (LCSW, LIMHP)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:C
Last Name:MASON
Suffix:
Gender:M
Credentials:LCSW, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 PORTOLA RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-3921
Mailing Address - Country:US
Mailing Address - Phone:702-686-1484
Mailing Address - Fax:702-445-6534
Practice Address - Street 1:6209 S 211TH ST
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-4133
Practice Address - Country:US
Practice Address - Phone:702-686-1484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-23
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE19841041C0700X
IA1237591041C0700X
NV8759-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical