Individual provider Active NPI

Nitika Gondal, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1710461041
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9303-C Issued in NV
Practice address
8070 Diggy Ave
Las Vegas, NV 89113-3661
Phone
(702) 337-3856
NPI assigned
Sep 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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 9303-C NV Primary

Addresses

Primary practice location

8070 Diggy Ave
Las Vegas, NV 89113-3661

Mailing address

8070 Diggy Ave
Las Vegas, NV 89113-3661
Phone (702) 337-3856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9303-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NV Behavioral Health Services LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

2431 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 331-9333

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": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1710461041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 DIGGY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133661",
            "telephone_number": "702-337-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 DIGGY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133661",
            "telephone_number": "702-337-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDAL",
        "first_name": "NITIKA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9303-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.