Organization Active NPI

Living Waters International Women'S Ministry

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1073746061
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5312-C Issued in NV
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

Updated by the provider on Aug 25, 2009

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Living Waters International2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.