Active NPI
Nicole James, LCSW
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1174874101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6870-C
- Practice address
- 8870 S Maryland Pkwy Ste 140
Las Vegas, NV 89123-4010 - Phone
- (702) 505-3575
- NPI assigned
- Oct 1, 2012
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6870-C | NV | Primary |
Addresses
Primary practice location
8870 S Maryland Pkwy Ste 140
Las Vegas, NV 89123-4010
Mailing address
8870 S Maryland Pkwy Ste 140
Las Vegas, NV 89123-4010
Phone (702) 832-8200
Other practice location 1
871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977
Phone (702) 209-0370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174874101 | Medicaid | NV |
Other names 1
- Making Changes
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6870-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Making Changes, LLC | Clinical | Current | Accepting new patients |
Locations
8870 S Maryland Pkwy
Ste 140
Las Vegas, NV 89123
Phone (702) 505-3575
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.
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1245792670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1174874101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8870 S MARYLAND PKWY STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891234010",
"telephone_number": "702-832-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8870 S MARYLAND PKWY STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891234010",
"telephone_number": "702-505-3575"
}
],
"practiceLocations": [
{
"address_1": "871 Coronado Center Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890523977",
"country_code": "US",
"telephone_number": "702-209-0370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "6870-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174874101",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAKING",
"last_name": "CHANGES",
"credential": "LLC",
"code": "2",
"type": "Professional Name"
}
]
}
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 Apr 4, 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.