Active NPI
Bruce Mufson
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1235379447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3027-C
- Practice address
- 2965 S Jones Blvd Ste D
Las Vegas, NV 89146-5606 - Phone
- (702) 733-8098
- Fax
- (702) 395-6457
- NPI assigned
- Feb 27, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3027-C | NV | Primary |
Addresses
Primary practice location
2965 S Jones Blvd Ste D
Las Vegas, NV 89146-5606
Mailing address
9925 Garamound Ave
Las Vegas, NV 89117-5990
Phone (702) 860-8316
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 |
|---|---|---|---|
| 3027-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1235379447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9925 GARAMOUND AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891175990",
"telephone_number": "702-860-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2965 S JONES BLVD STE D",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465606",
"telephone_number": "702-733-8098",
"fax_number": "702-395-6457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUFSON",
"first_name": "BRUCE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-27",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "3027-C",
"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 Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.