Organization Active NPI

Nicholas L Neubauer LCSW PLLC

Doing business as Nicholas Lawrence Neubauer

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1073161626
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NICHOLAS L NEUBAUER LCSW PLLC
Doing business as
Nicholas Lawrence Neubauer
Practice address
2313 Sunrise Meadows Dr
Las Vegas, NV 89134-6926
Phone
(702) 806-5268
Fax
(702) 485-1107
NPI assigned
Aug 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Nicholas Neubauer, LCSW
Title
Owner
Phone
(702) 806-5268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2313 Sunrise Meadows Dr
Las Vegas, NV 89134-6926

Mailing address

2313 Sunrise Meadows Dr
Las Vegas, NV 89134-6926
Phone (702) 806-5268

Other identifiers 1

IdentifierTypeStateIssuer
LCSWMedicaidNV

Other names 1

  • NICHOLAS LAWRENCE NEUBAUER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL FAX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1073161626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 SUNRISE MEADOWS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346926",
            "telephone_number": "702-806-5268",
            "fax_number": "702-485-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 SUNRISE MEADOWS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346926",
            "telephone_number": "702-806-5268",
            "fax_number": "702-485-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS L NEUBAUER LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "NEUBAUER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-806-5268",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LCSW",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FAX",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "address_1": "2313 Sunrise Meadows Dr",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891346926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NICHOLAS LAWRENCE NEUBAUER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 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.

Verify at the official NPI Registry.