Individual provider Active NPI

Jonathan Senda, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1639434053
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8337-C Issued in NV
Practice address
1334 S Maryland Pkwy
Las Vegas, NV 89104
Phone
(702) 530-5344
Fax
(702) 852-0413
NPI assigned
Jul 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 8337-C NV Primary

Addresses

Primary practice location

1334 S Maryland Pkwy
Las Vegas, NV 89104

Mailing address

1334 S Maryland Pkwy
Las Vegas, NV 89104-3310
Phone (702) 530-5344

Other practice location 1

3680 N Rancho Dr
Las Vegas, NV 89130-3180
Phone (702) 646-5437

Other practice location 2

3680 N Rancho Dr
Las Vegas, NV 89130-3180
Phone (702) 646-5437

Other identifiers 1

IdentifierTypeStateIssuer
842974605OtherNVIRS INDIVIDUAL TAXPAYER IDENTIFICATION NUMBER

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
8337-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Mental Health Associates, LLC Clinical Current Accepting new patients

Locations

1334 S Maryland Pkwy
Las Vegas, NV 89104
Phone (702) 279-8678

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1639434053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043310",
            "telephone_number": "702-530-5344",
            "fax_number": "702-852-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "702-530-5344",
            "fax_number": "702-852-0413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3680 N Rancho Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891303180",
            "country_code": "US",
            "telephone_number": "702-646-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3680 N Rancho Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891303180",
            "country_code": "US",
            "telephone_number": "702-646-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENDA",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8337-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS INDIVIDUAL TAXPAYER IDENTIFICATION NUMBER",
            "identifier": "842974605",
            "state": "NV"
        }
    ],
    "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 Feb 22, 2023; 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.