Jacqueline Glasper-Sattwhite, BS,MBA,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9028-C Issued in NV

Practice address

3925 N Martin L King Blvd Ste 212
North Las Vegas, NV 89032-7676

Phone

(702) 444-0235

Fax

(702) 992-3505

NPI assigned

Oct 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Master of Business Administration

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Grace Wellness Center LLC

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
  • NPI 1831574136
  Medicare reassignment NPD Authorized official
• American Grace Wellness Center LLC

  • Clinical Social Worker
  • North Las Vegas, NV
  • NPI 1760190136
  NPD Authorized official

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1285910075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N MARTIN L KING BLVD STE 212",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327676",
            "telephone_number": "702-444-0235",
            "fax_number": "702-992-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N MARTIN L KING BLVD STE 212",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327676",
            "telephone_number": "702-444-0235",
            "fax_number": "702-992-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASPER-SATTWHITE",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "BS,MBA,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9028-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE  PRACTICE",
            "identifier": "1285910075",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Behavioralhealth@Amgracewellness.org",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3925 N Martin L King Blvd Ste 212",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890327676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Behavioralhealth@AmGracewellness.org",
            "affiliation": "N",
            "endpointDescription": "Behavioral Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "North Las Vegas",
            "address_1": "3925 N Martin L King Blvd Ste 212",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890327676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Candice Gist-Franklin
• Kiowa Givehand
• Naya Givens
• Shakori Unique Givens
• Shawond Nicole Givens
• Courtney Glass, AU.D.
• Shanae Ebony Glass
• Sherrie Glass
• Venus M Glass
• Leslie Glaze

• Clinical Social Worker in North Las Vegas, NV
• Providers in North 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 Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.