Deja Rachelle Ethel Fuimaono, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8661-C Issued in NV

Practice address

570 W Cheyenne Ave Ste 190
North Las Vegas, NV 89030-3983

Phone

(702) 350-1898

NPI assigned

Feb 17, 2012

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 2

Other names 1

• Deja Rachelle Ethel Edwards Former name

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citi MedGroup PAC ID 9739529272, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Citi Med

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1417646860
  Medicare reassignment Care Compare group NPD
• Expertise Billing Service LLP

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1992394605
  Medicare reassignment NPD
• Pacifica Healthcare Providers LLC

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1528628633
  Medicare reassignment NPD
• Rooted Solutions LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1568105484
  Medicare reassignment NPD
• Well Care Medical Group of North Las Vegas Incorporated

  • Behavioral Neurology & Neuropsychiatry Physician
  • North Las Vegas, NV
  • NPI 1588389944
  Medicare reassignment NPD
• Ahh Therapy LLC

  • Clinical Social Worker
  • North Las Vegas, NV
  • NPI 1851067722
  NPD Authorized official
• Rise Homes

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
  • NPI 1316644271
  NPD Authorized official

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1497028682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 BELLO CIRCONDA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891788257",
            "telephone_number": "702-350-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W CHEYENNE AVE STE 190",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890303983",
            "telephone_number": "702-350-1898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 W Charleston Blvd",
            "address_2": "Suite #70",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89120",
            "country_code": "US",
            "telephone_number": "702-822-1556",
            "fax_number": "702-992-0391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7836 W Sahara Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891171944",
            "country_code": "US",
            "telephone_number": "702-499-4922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUIMAONO",
        "first_name": "DEJA",
        "middle_name": "RACHELLE ETHEL",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2025-03-06",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8661-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14927028682",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497028682",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deja@risehomesnv.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Las Vegas",
            "address_1": "7836 W Sahara Ave",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891171944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEJA",
            "last_name": "EDWARDS",
            "middle_name": "RACHELLE ETHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jerilyn Froehlich
• Sharon W. Froese, APRN./CNM
• Frontier Medical & Behavioral Center Inc
• Monae Frutos
• Kekoa Fuertes
• Lane Fujimoto, O.D.
• Full Life Circle Support Services
• Ryan Fullenwiley-Jones
• Linda Jean Fuller-Brown, MD
• Amaya Fuller

• 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 Mar 6, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.