Edith Yael Jimenez, LMSW, CSW-I

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12089-M Issued in NV

Practice address

6402 McLeod Dr Ste 5
Las Vegas, NV 89120-4406

Phone

(725) 204-8809

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• FDV Wellness Center

  dba Fuente de Vida

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1134813991
  NPD (past)

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1063101632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 MCLEOD DR STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204406",
            "telephone_number": "725-204-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 MCLEOD DR STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204406",
            "telephone_number": "725-204-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "EDITH",
        "middle_name": "YAEL",
        "credential": "LMSW, CSW-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12089-M",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristain Jimenez
• David Jimenez Jr.
• Diana Jimenez
• Edgar Jimenez
• Edi Jimenez
• Edward Jimenez
• Elizabeth Jimenez
• Fernando Jimenez
• Francis Escolin Jimenez, M.D.
• Jan Jimenez, DO

• 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 Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.