Active NPI
Melissa L Querry
- Clinical Social Worker
- Henderson, NV
National Provider Identifier
1265050561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MELISSA L QUERRY
- Practice address
- 2470 Saint Rose Pkwy Ste 302
Henderson, NV 89074-7776 - Phone
- (493) 711-0809
- Fax
- (702) 566-4575
- NPI assigned
- Jul 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Querry, LCSW
- Title
- Owner
- Phone
- (949) 371-1080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2470 Saint Rose Pkwy Ste 302
Henderson, NV 89074-7776
Mailing address
2470 Saint Rose Pkwy Ste 302
Henderson, NV 89074-7776
Phone (493) 711-0809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346361391 | Medicaid | NV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594598400000",
"number": "1265050561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 SAINT ROSE PKWY STE 302",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747776",
"telephone_number": "493-711-0809",
"fax_number": "702-566-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 SAINT ROSE PKWY STE 302",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747776",
"telephone_number": "493-711-0809",
"fax_number": "702-566-4575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELISSA L QUERRY",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-13",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A",
"authorized_official_last_name": "QUERRY",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-371-1080",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346361391",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.