Active NPI
Disa Espiritu, LCSW
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1821384009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-4473
- Practice address
- 2533 La Fortuna Ave
Las Vegas, NV 89121-5436 - Phone
- (702) 354-5996
- NPI assigned
- Jun 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | LCSW-4473 | HI | Primary |
Addresses
Primary practice location
2533 La Fortuna Ave
Las Vegas, NV 89121-5436
Mailing address
PO Box
Honolulu, HI 96828
Phone (702) 354-5996
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Honolulu | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| LCSW-4473 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1821384009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96828",
"telephone_number": "702-354-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2533 LA FORTUNA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215436",
"telephone_number": "702-354-5996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPIRITU",
"first_name": "DISA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-25",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-4473",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Honolulu",
"affiliation": "N",
"endpointDescription": "unknown",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Honolulu",
"address_1": "2533 La Fortuna Ave",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891215436",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.