Niswonger Psychological Health, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5436-C Issued in NV

Legal business name

NISWONGER PSYCHOLOGICAL HEALTH, LLC

Practice address

7495 W Azure Dr
Suite #204
Las Vegas, NV 89130-4416

Phone

(702) 768-2950

NPI assigned

Jan 24, 2013

Last updated

Jan 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jodi Niswonger, LCSW

Title

Owner

Phone

(702) 768-2950

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1255679312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 W AZURE DR",
            "address_2": "SUITE #204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304416",
            "telephone_number": "702-768-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 W AZURE DR",
            "address_2": "SUITE #204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304416",
            "telephone_number": "702-768-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISWONGER PSYCHOLOGICAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "NISWONGER",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-768-2950",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5436-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ayako Nishimura
• Steven Keita Nishiyama, D.O., PH.D.
• Jaylene Nisihura
• Grant Niskanen, MD
• Kelli Nissen
• Jodi Niswonger, L.C.S.W.
• Nita Kaul MD PC20
• Nitai Anesthesia Group PLLC
• Malinie Nitivong
• Noppawan Nitrosesatien, APRN, FNP-C

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.