Active NPI
Meambi Terease Newbern-Johnson
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1760875223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7790-C
- Practice address
- 8685 S Eastern Ave
Las Vegas, NV 89123-2839 - Phone
- (702) 754-0807
- Fax
- (702) 754-0808
- NPI assigned
- Mar 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5490-S | NV | |
| Clinical Social Worker | 1041C0700X | 7790-C | NV | Primary |
Addresses
Primary practice location
8685 S Eastern Ave
Las Vegas, NV 89123-2839
Mailing address
1434 Dire Wolf Ave
North Las Vegas, NV 89084-4025
Phone (702) 563-7240
Other practice location 1
730 W Cheyenne Ave Ste 40
North Las Vegas, NV 89030-7849
Phone (702) 633-7923
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 |
|---|---|---|---|
| 5490-S | NV | MD | Social Worker |
| 7790-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lighthouse of Love | Past | Accepting new patients | |
| The Light House of Love | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- North Las Vegas, NV
- NPI 1871822197
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1417579749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1760875223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 DIRE WOLF AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890844025",
"telephone_number": "702-563-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8685 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891232839",
"telephone_number": "702-754-0807",
"fax_number": "702-754-0808"
}
],
"practiceLocations": [
{
"address_1": "730 W Cheyenne Ave Ste 40",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890307849",
"country_code": "US",
"telephone_number": "702-633-7923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWBERN-JOHNSON",
"first_name": "MEAMBI",
"middle_name": "TEREASE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-09",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "5490-S",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "7790-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 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.