Laquailor Nicole Burrell, BSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3435 W Craig Rd Ste B
North Las Vegas, NV 89032-5116

Phone

(702) 207-4458

NPI assigned

Jan 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• New Leaf Family Services & Wellness Center

  • Community/Behavioral Health Agency
  • N Las Vegas, NV
  • NPI 1053840611
  NPD (past)
• New Leaf Family Services and Wellness Center

  • Case Management Agency
  • North Las Vegas, NV
  • NPI 1124544424
  NPD (past)

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1437657319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N RAINBOW BLVD STE 182",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084578",
            "telephone_number": "702-207-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 W CRAIG RD STE B",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325116",
            "telephone_number": "702-207-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "LAQUAILOR",
        "middle_name": "NICOLE",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nijae J Burns
• Sondrea Burns
• Kemokie Burnside
• Tonzia Burr
• Coretha Burrell
• Lateisha Lanore Burrell
• Mautrice Burrell
• Jason Carter Burress
• Jazelle Burries
• Luke Burroughs, BS PSYCHOLOGY

• Social Worker in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.