Active NPI
Shawn Mango, LCSW
- Clinical Social Worker
- North Las Vegas, NV
National Provider Identifier
1710371513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5239-S
- Practice address
- 730 W Cheyenne Ave
Suite 60
North Las Vegas, NV 89030-7848 - Phone
- (702) 258-0031
- Fax
- (702) 221-0103
- NPI assigned
- Mar 19, 2015
- 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 | 5239-S | NV | Primary |
Addresses
Primary practice location
730 W Cheyenne Ave
Suite 60
North Las Vegas, NV 89030-7848
Mailing address
730 W Cheyenne Ave
Suite 60
North Las Vegas, NV 89030-7848
Phone (702) 258-0031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5239-S | Other | NV | NEVADA STATE BOARD OF EXAMINERS FOR SOCIAL WORKERS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5239-S | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1710371513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 W CHEYENNE AVE",
"address_2": "SUITE 60",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307848",
"telephone_number": "702-258-0031",
"fax_number": "702-221-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 W CHEYENNE AVE",
"address_2": "SUITE 60",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307848",
"telephone_number": "702-258-0031",
"fax_number": "702-221-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGO",
"first_name": "SHAWN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-19",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "5239-S",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA STATE BOARD OF EXAMINERS FOR SOCIAL WORKERS",
"identifier": "5239-S",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.