Creative Journey LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CREATIVE JOURNEY LLC

Practice address

9414 W Lake Mead Blvd
Las Vegas, NV 89134-8312

Phone

(702) 527-2873

NPI assigned

Aug 29, 2019

Organization subpart

No

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

Authorized official

Name

Shania Wilfong, LCSW

Title

Owner

Phone

(702) 527-2873

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1376191643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 SKY POINTE DR STE 140328",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314047",
            "telephone_number": "702-527-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348312",
            "telephone_number": "702-527-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "WILFONG",
        "authorized_official_first_name": "SHANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-527-2873",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 29, 2019; 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.