Active NPI
Ridge Creek Therapy
- Clinical Social Worker
- Henderson, NV
National Provider Identifier
1528962339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffani Wadley
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Clinical Social Worker
- Clermont, FL
- NPI 1295448413
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.