Philip Riccobono LCSW, LTD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

01246C Issued in NV

Legal business name

PHILIP RICCOBONO LCSW, LTD

Practice address

2740 S Jones Blvd
Las Vegas, NV 89146-5306

Phone

(702) 515-3670

Fax

(702) 227-3661

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Philip Leonard Riccobono, LCSW, LTD

Title

President

Phone

(702) 515-3670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1669405601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465306",
            "telephone_number": "702-515-3670",
            "fax_number": "702-227-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465306",
            "telephone_number": "702-515-3670",
            "fax_number": "702-227-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP RICCOBONO LCSW, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "RICCOBONO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-515-3670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, LTD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "01246C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philander Medical Associates, Inc.
• Peter Philander, M.D.
• Veokham Philavong
• Jessica Leigh Philbin
• Alesa Philbrick
• Megan Elise Philippi, MSW
• Cynthia Philips
• Sammi Denice Philips
• Christopher Philistin
• Erick X Phill, RBT

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.