NPIMap

Organization Active NPI

Nicolas Ponzo, LCSW, LTD

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1821388109
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
01258C Issued in NV
Legal business name
NICOLAS PONZO, LCSW, LTD
Practice address
10161 Park Run Dr
Suite 150
Las Vegas, NV 89145-8871
Phone
(702) 248-1169
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Nicolas Ponzo, LCSW, M.ED
Title
President
Phone
(702) 248-1169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 01258C NV Primary

Addresses

Primary practice location

10161 Park Run Dr
Suite 150
Las Vegas, NV 89145-8871

Mailing address

10161 Park Run Dr
Suite 150
Las Vegas, NV 89145-8871
Phone (702) 248-1169

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1821388109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10161 PARK RUN DR",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458871",
            "telephone_number": "702-248-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 PARK RUN DR",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458871",
            "telephone_number": "702-248-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS PONZO, LCSW, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "PONZO",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-248-1169",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, M.ED"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "01258C",
            "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 Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.