Ainsley Banaga, LMSW
Individual provider Active NPI Social Worker · Las Vegas, NV
NPI 1497519896 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1497519896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 11236-M (NV)
- Practice address
- 8685 S Eastern Ave
Las Vegas, NV 89123-2839 - Phone
- (702) 754-0807
- NPI assigned
- Feb 7, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06869-I | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 11236-M | NV | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 06869-I | NV | |
| Social Worker | 104100000X | 11236-M | NV | Yes |
Addresses
Primary practice location
8685 S Eastern Ave
Las Vegas, NV 89123-2839
Mailing address
10115 Jeffreys St Apt 2156
Las Vegas, NV 89183-7922
Phone (702) 858-3013
Other practice location 1
2290 McDaniel St Ste 1C
North Las Vegas, NV 89030-6330
Phone (702) 399-1600
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.