Sunny Jeani Tice, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2850-C Issued in NV

Practice address

4550 W. Oakey Blvd.
Suite # 111-Q
Las Vegas, NV 89102

Phone

(702) 375-5500

Fax

(702) 360-1161

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1275624645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 DOMNUS LN.",
            "address_2": "#206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440855",
            "telephone_number": "702-375-5500",
            "fax_number": "702-360-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W. OAKEY BLVD.",
            "address_2": "SUITE # 111-Q",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-375-5500",
            "fax_number": "702-360-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICE",
        "first_name": "SUNNY",
        "middle_name": "JEANI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "2850-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV. ST. LIC SOCIAL WORK",
            "identifier": "2850-C",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiburcio Ting and Chung Prof LLC
• Don Marque Tiburcio, D.D.S.
• Asly Sofia Ticas Linares
• Allen Ticas
• Sofia Ticas
• De'Auzhanae La'Shae Ticey
• Sawayna Ticey
• Patrick Ticman, MD
• Angela Tidwell
• Carl Tidwell

• 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 Nov 1, 2007; 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.