Active NPI
Nicole Canedo, CSWI
- Social Worker
- Las Vegas, NV
National Provider Identifier
1033767298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7827-S
- Practice address
- 2575 Montessouri St Ste 200
Las Vegas, NV 89117-3060 - Phone
- (702) 485-5020
- NPI assigned
- Aug 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7827-S | NV | Primary |
Addresses
Primary practice location
2575 Montessouri St Ste 200
Las Vegas, NV 89117-3060
Mailing address
7717 Himalayas Ave
Las Vegas, NV 89128-8053
Phone (702) 250-0917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7827-S | NV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telehealth Services USA | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1033767298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7717 HIMALAYAS AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891288053",
"telephone_number": "702-250-0917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 MONTESSOURI ST STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891173060",
"telephone_number": "702-485-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANEDO",
"first_name": "NICOLE",
"credential": "CSWI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "7827-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.