Individual provider Active NPI

Jennifer Tunning

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1306362371
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-19918 Issued in AZ
Practice address
3321 N Buffalo Dr # 150
Las Vegas, NV 89129-6678
Phone
(725) 500-0060
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X LMSW-16777 AZ
Clinical Social Worker 1041C0700X 14201002-3501 UT
Clinical Social Worker 1041C0700X LCSW-19918 AZ Primary

Addresses

Primary practice location

3321 N Buffalo Dr # 150
Las Vegas, NV 89129-6678

Mailing address

817 E Paseo Way
Phoenix, AZ 85042-5165
Phone (602) 578-3868

Other practice location 1

817 E Paseo Way
Phoenix, AZ 85042-5165
Phone (602) 578-3868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211228001248 AZ Practitioner - Clinical Social Worker 7012308109
I20250903001937 NV Practitioner - Clinical Social Worker 7012308109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

203 S Water St
Suite 206
Henderson, NV 89015-7226

500 Westover Dr
Sanford, NC 27330-8941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-16777AZMDSocial Worker
14201002-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Candelen Clinical CurrentSince Jan 21, 2022 Accepting new patients
Mental Health Specialty Group PA Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Impact Community Medicine PA Single Specialty CurrentSince Nov 1, 2022 Accepting new patients

Locations

777 E Thomas Rd
Ste 200
Phoenix, AZ 85014
Phone (480) 829-0500

203 S Water St
Ste 206
Henderson, NV 89015

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1306362371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E PASEO WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425165",
            "telephone_number": "602-578-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 N BUFFALO DR # 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296678",
            "telephone_number": "725-500-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 E Paseo Way",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850425165",
            "country_code": "US",
            "telephone_number": "602-578-3868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUNNING",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-16777",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "14201002-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-19918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.