Organization Active NPI

Ridge Creek Therapy

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1528962339
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RIDGE CREEK THERAPY
Practice address
10120 S Eastern Ave Ste 240
Henderson, NV 89052-3951
Phone
(720) 476-1252
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Tiffani WadleyNPI 1295448413
Title
Owner
Phone
(720) 476-1252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

10120 S Eastern Ave Ste 240
Henderson, NV 89052-3951

Mailing address

10120 S Eastern Ave Ste 240
Henderson, NV 89052-3951

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1528962339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE STE 240",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE STE 240",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523951",
            "telephone_number": "720-476-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE CREEK THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "WADLEY",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-476-1252"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.