Active NPI
Tish Diskin, LCSW
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1699984393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3062C
- Practice address
- 1701 W Charleston Blvd
Suite 300
Las Vegas, NV 89102-2325 - Phone
- (702) 251-8000
- Fax
- (702) 366-0269
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3062C | NV | Primary |
Addresses
Primary practice location
1701 W Charleston Blvd
Suite 300
Las Vegas, NV 89102-2325
Mailing address
1701 W Charleston Blvd
Suite 300
Las Vegas, NV 89102-2325
Phone (702) 251-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 W Charleston Blvd
Suite 300
Las Vegas, NV 89102-2313
Phone (702) 251-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3062C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHC of Nevada Inc | Social Worker | Current | Accepting new patients |
Locations
1701 W Charleston Blvd
Ste 300
Las Vegas, NV 89102
Phone (702) 251-8000
Interoperability endpoints
- tish.diskin@harmonyhc.directbygreenway.com
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": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699984393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W CHARLESTON BLVD",
"address_2": "SUITE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022325",
"telephone_number": "702-251-8000",
"fax_number": "702-366-0269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W CHARLESTON BLVD",
"address_2": "SUITE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022325",
"telephone_number": "702-251-8000",
"fax_number": "702-366-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISKIN",
"first_name": "TISH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "3062C",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.