Individual provider Active NPI

Tashanne J. Toledo, CSW-INTERN, LSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1619129665
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-677 Issued in NV
Practice address
4538 West Craig Road
Suite 290
Las Vegas, NV 89032-0000
Phone
(702) 486-5518
Fax
(702) 486-5630
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IC-677 NV Primary

Addresses

Primary practice location

4538 West Craig Road
Suite 290
Las Vegas, NV 89032-0000

Mailing address

4538 West Craig Road
Suite 290
Las Vegas, NV 89032-0000
Phone (702) 486-5518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IC-677NVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1619129665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 WEST CRAIG ROAD",
            "address_2": "SUITE 290",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "890320000",
            "telephone_number": "702-486-5518",
            "fax_number": "702-486-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4538 WEST CRAIG ROAD",
            "address_2": "SUITE 290",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "890320000",
            "telephone_number": "702-486-5518",
            "fax_number": "702-486-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEDO",
        "first_name": "TASHANNE",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "CSW-INTERN, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.