Active NPI
Living Waters International Women'S Ministry
- Clinical Social Worker
- North Las Vegas, NV
National Provider Identifier
1073746061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5312-C
- Legal business name
- LIVING WATERS INTERNATIONAL WOMEN'S MINISTRY
- Practice address
- 4780 W Ann Rd Ste 5-239
North Las Vegas, NV 89031-3859 - Phone
- (702) 577-4118
- Fax
- (702) 925-4775
- NPI assigned
- Aug 25, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Christina Louise Sanford, LCSW
- Title
- Founder/Ceo
- Phone
- (702) 577-4118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5312-C | NV | Primary |
Addresses
Primary practice location
4780 W Ann Rd Ste 5-239
North Las Vegas, NV 89031-3859
Mailing address
4780 W Ann Rd Ste 5-239
North Las Vegas, NV 89031-3859
Phone (702) 577-4118
Other names 1
- Living Waters International
National Provider Directory
National Provider Directory- Tax ID family
- Living Waters International
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Counselor
- Las Vegas, NV
- NPI 1225364813
Locations
4780 W Ann Rd
Ste 5239
North Las Vegas, NV 89031
Phone (702) 577-4118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251158400000",
"number": "1073746061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4780 W ANN RD STE 5-239",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890313859",
"telephone_number": "702-577-4118",
"fax_number": "702-925-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4780 W ANN RD STE 5-239",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890313859",
"telephone_number": "702-577-4118",
"fax_number": "702-925-4775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING WATERS INTERNATIONAL WOMEN'S MINISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-25",
"last_updated": "2009-08-25",
"status": "A",
"authorized_official_last_name": "SANFORD",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "FOUNDER/CEO",
"authorized_official_telephone_number": "702-577-4118",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "5312-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Living Waters International",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North 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 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.