Manami Ishikawa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9584-C Issued in NV

Practice address

6767 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4755

Phone

(702) 209-0370

NPI assigned

Aug 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sunrise Health Clinics LLC

  • Public Health & General Preventive Medicine Physician
  • Las Vegas, NV
  • NPI 1629405840
  Medicare reassignment

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1962980656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 S RAINBOW BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182558",
            "telephone_number": "702-209-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034755",
            "telephone_number": "702-209-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIKAWA",
        "first_name": "MANAMI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9584-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Isenagle
• Molly Anne Isenberg
• Isessions, Inc.
• Mania Ishaniafosi
• Nicole Ishii, RD, LD
• Aida Ishkhanian
• Rita Marie Ishkhanian, DO
• Terra Linda Ishmael
• Aline Mapendo Ishumi
• Autumn Meagan Isi

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.