Individual provider Active NPI

Connie Yao, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1659548428
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2643-C Issued in NV
Practice address
9163 W Flamingo Rd
Suite #120
Las Vegas, NV 89147-6457
Phone
(702) 220-5776
Fax
(702) 869-9203
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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 2643-C NV Primary

Addresses

Primary practice location

9163 W Flamingo Rd
Suite #120
Las Vegas, NV 89147-6457

Mailing address

9163 W Flamingo Rd
Suite #120
Las Vegas, NV 89147-6457
Phone (702) 220-5776

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1659548428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9163 W FLAMINGO RD",
            "address_2": "SUITE #120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476457",
            "telephone_number": "702-220-5776",
            "fax_number": "702-869-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9163 W FLAMINGO RD",
            "address_2": "SUITE #120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476457",
            "telephone_number": "702-220-5776",
            "fax_number": "702-869-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAO",
        "first_name": "CONNIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "2643-C",
            "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 Jul 11, 2012; 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.