Individual provider Active NPI

Nicole James, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1174874101
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6870-C Issued in NV
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

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1174874101MedicaidNV

Other names 1

  • Making Changes Professional name

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

LicenseStateTypeSpecialty
6870-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.