Provider Demographics
NPI:1447645346
Name:SAUNDERS, WALTER WILLIAM (LCSW, LCADC)
Entity type:Individual
Prefix:MR
First Name:WALTER
Middle Name:WILLIAM
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6919 SACRED CIR
Mailing Address - Street 2:
Mailing Address - City:SPANISH SPRINGS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-5470
Mailing Address - Country:US
Mailing Address - Phone:775-342-9473
Mailing Address - Fax:
Practice Address - Street 1:205 S PRATT AVE
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-4730
Practice Address - Country:US
Practice Address - Phone:775-882-3945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV07258-LC101YA0400X
NV10313-C1041C0700X
NV8967-S104100000X
NVIC-16401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV07258-LCOtherNEVADA BOARD OF ALCOHOL, DRUG AND GAMBLING COUNSELORS
NV10313-COtherSTATE OF NEVADA BOARD OF SOCIAL WORKERS
NV06632-LCIOtherNEVADA STATE BOARD OF EXAMINERS FOR ALCOHOL, DRUG AND GAMBLING
NV06635-LOtherNEVADA STATE BOARD OF EXAMINERS FOR ALCOHOL, DRUG AND GAMBLING COUNSELORS