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

Individual provider Clinical Social Worker · NPI 1235438086

Kori Detmer, CSW-INTERN is a Clinical Social Worker in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2011
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Practice location Address checks out

4000 E Charleston Blvd Ste 130
Las Vegas, NV 89104-6681
Phone: (702) 968-4000
Fax: (702) 968-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence IC-708 (NV)

Record details

NPI number1235438086
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW-INTERN
Sole proprietorYes
NPI enumeratedMarch 18, 2011
Last updated in NPPESNovember 14, 2011

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