Individual provider Active NPI

Tammy Shield-Rice, LCSW

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1952763211
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6900-C Issued in NV
Practice address
2470 Saint Rose Pkwy Ste 213
Henderson, NV 89074-7776
Phone
(702) 475-9751
Fax
(702) 830-7350
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 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 6900-C NV Primary

Addresses

Primary practice location

2470 Saint Rose Pkwy Ste 213
Henderson, NV 89074-7776

Mailing address

1000 N Green Valley Pkwy # 440-167
Henderson, NV 89074-6170
Phone (702) 704-5615

Other names 1

  • Tammy Shield Rice Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161104001775 NV Practitioner - Clinical Social Worker 7517245947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2470 Saint Rose Pkwy
Suite 213
Henderson, NV 89074-7776
Phone (702) 704-5615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6900-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Counseling LLC Clinical CurrentSince May 15, 2019 Accepting new patients
Oasis Counseling LLC CurrentSince Dec 15, 2016 Accepting new patients

Locations

871 Coronado Center Dr
Ste 200
Henderson, NV 89052
Phone (702) 830-9685

2470 Saint Rose Pkwy
Ste 213
Henderson, NV 89074
Phone (702) 475-9751

2360 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 518-7629

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.

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1952763211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N GREEN VALLEY PKWY # 440-167",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746170",
            "telephone_number": "702-704-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 SAINT ROSE PKWY STE 213",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747776",
            "telephone_number": "702-475-9751",
            "fax_number": "702-830-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELD-RICE",
        "first_name": "TAMMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6900-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "SHIELD RICE",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.