Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Crocker

Organization Case Management Agency · NPI 1215485636

Dominique Crocker is a Case Management Agency in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2016.

Licensed in
NV
In the registry since
2016

Practice location Address checks out

917 Willow Tree Dr #A
Las Vegas, NV 89128
Phone: (702) 955-7708
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X (NV)

Record details

NPI number1215485636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominique Crocker — Mentor · (702) 955-7708
NPI enumeratedSeptember 14, 2016
Last updated in NPPESSeptember 14, 2016
Mailing address917 Willow Tree Dr Unit A, Las Vegas, NV 89128-3321

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