Jodi Niswonger is a Clinical in Las Vegas, Nevada. Jodi Niswonger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jodi Niswonger is 1376799718. The last update date is 2008-08-18.
Jodi Niswonger's current location address is 7040 Laredo St, Las Vegas, Nevada. You can contact this provider via phone number 7028985311 and fax number 7028985310. The mailing address for Jodi Niswonger is 7040 Laredo St, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi Niswonger |
|---|---|
| Address | 7040 Laredo St, Las Vegas, Nevada |
| Phone Number | 7028985311 |
| Fax Number | 7028985310 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1376799718 |
|---|---|
| Provider Enumeration Date | 2008-08-18 |
| Last Updated Date | 2008-08-18 |
Provider Mailing Address Detail
| Address | 7040 Laredo St |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891173000 |
| Phone Number | 7028985311 |
| Fax Number | 7028985310 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5436-C |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Jodi Niswonger's 1376799718?
The Jodi Niswonger's NPI (National Provider Identifier) Number is 1376799718. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jodi Niswonger's facilities are situated?
The facilities of Jodi Niswonger are physically located at the following address: 7040 Laredo St, Las Vegas, NV, 891173000.
What is Jodi Niswonger's area of expertise and its corresponding taxonomy classification?
The Jodi Niswonger's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jodi Niswonger receive the assignment of its 1376799718 from the Centers for Medicare & Medicaid Services?
The Jodi Niswonger was issued its 1376799718 by the Centers for Medicare & Medicaid Services on 2008-08-18.
When was the information pertaining to Jodi Niswonger most recently updated or revised?
The details related to Jodi Niswonger, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-18.
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