Delali Management Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DELALI MANAGEMENT SERVICES

Practice address

2585 S Jones Blvd Ste 2F
Las Vegas, NV 89146-5604

Phone

(702) 806-9143

Fax

(186) 628-0947

NPI assigned

Dec 2, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ayele E Amavigan, ED.D, MSW, LCSWNPI 1497921605

Title

Executive Director/Owner

Phone

(702) 806-9143

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayele E Amavigan, ED.D, MSW, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1497921605
  Medicare reassignment Authorized official
• Jordan Lesko

  • Rehabilitation Practitioner
  • Las Vegas, NV
  • NPI 1326496472
  NPD (past)
• Mina Poon

  • Rehabilitation Practitioner
  • Las Vegas, NV
  • NPI 1245694074
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1023449089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 MEADOW VIEW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031121",
            "telephone_number": "702-806-9143",
            "fax_number": "186-628-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 S JONES BLVD STE 2F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465604",
            "telephone_number": "702-806-9143",
            "fax_number": "186-628-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELALI MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2022-08-01",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "AMAVIGAN",
        "authorized_official_first_name": "AYELE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "702-806-9143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D, MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NV",
            "license": "5116S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Vaughn Delacruz, PHARMD
• Rowena Alijuddin Delacruz, BSN, RN
• Sonny Delacruz
• Stephanie Delacruz
• Frank Delahoz
• Carol Elizabeth Delaney-Pitchford
• Alexander Patrick Delaney, MD
• Cheyenne Delaney, COTA/L
• Dale Delaney, PA-C
• Dannielle Delaney, FNP-BC

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.