Individual provider Active NPI

Judith Ungar Neuenkirch, MSW, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1023665437
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8763-C Issued in NV
Practice address
5426 Vegas Dr
Las Vegas, NV 89108-2403
Phone
(702) 806-5268
Fax
(702) 485-1107
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8763-C NV Primary

Addresses

Primary practice location

5426 Vegas Dr
Las Vegas, NV 89108-2403

Mailing address

7261 Sandy Plains Ave
Las Vegas, NV 89131-3387
Phone (702) 497-3244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929002981 NV Practitioner - Clinical Social Worker 2264851930 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gencare Psychological Services LLC CurrentSince Mar 18, 2024 Accepting new patients
Neubauer Mental Health Services, Apc Clinical CurrentSince Aug 26, 2020 Accepting new patients

Locations

7390 W Sahara Ave
Ste 240
Las Vegas, NV 89117
Phone (702) 305-0234

5426 Vegas Dr
Las Vegas, NV 89108
Phone (702) 806-5268

7331 W Charleston Blvd
Ste 120
Las Vegas, NV 89117
Phone (702) 900-3134

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1023665437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 SANDY PLAINS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891313387",
            "telephone_number": "702-497-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 VEGAS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082403",
            "telephone_number": "702-806-5268",
            "fax_number": "702-485-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGAR NEUENKIRCH",
        "first_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8763-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.