Active NPI
Gabrielle Tisdol, LMSW, CSW-INTERN
- Social Worker
- Las Vegas, NV
National Provider Identifier
1225523095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- IC-2671
- Practice address
- 2780 S Jones Blvd Ste 205
Las Vegas, NV 89146-5659 - Phone
- (702) 935-0025
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | IC-2671 | NV | Primary |
Addresses
Primary practice location
2780 S Jones Blvd Ste 205
Las Vegas, NV 89146-5659
Mailing address
2780 S Jones Blvd Ste 205
Las Vegas, NV 89146-5659
Phone (702) 935-0025
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IC-2671 | NV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1225523095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 S JONES BLVD STE 205",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465659",
"telephone_number": "702-935-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 S JONES BLVD STE 205",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465659",
"telephone_number": "702-935-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISDOL",
"first_name": "GABRIELLE",
"credential": "LMSW, CSW-INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "IC-2671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.