DE LA FUENTE DE VIDA SERVICES LLC
Social Worker (Clinical)

Address: 9480 Graceful Gold St, Las Vegas, NV 89123-3889

DE LA FUENTE DE VIDA SERVICES LLC (NPI# 1316538465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316538465
Entity Type Organization
Organization Name DE LA FUENTE DE VIDA SERVICES LLC
Practice Address 9480 Graceful Gold St
Las Vegas
NV 89123-3889
Practice Telephone 7025441638
Mailing Address 9480 Graceful Gold St
Las Vegas
NV 89123-3889
Mailing Telephone 7025441638
Certification Date 2021-02-01
Enumeration Date 2021-02-01
Last Update Date 2021-02-01
Authorized Official Telephone 7025441638
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
193400000X SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers

Office Location

Street Address 9480 GRACEFUL GOLD ST
City LAS VEGAS
State NV
Zip Code 89123-3889

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932795911 Power Center Community Development Corporation 3420 Lacebark Pine St, Las Vegas, NV 89129-8142 2020-12-14
1598367906 Natalee Adell Mallory 2441 Sun Shores Dr, Las Vegas, NV 89128-7127 2020-11-10
1154933067 Michelle Rocha 5912 Kit Cove Ct, Las Vegas, NV 89131-2088 2020-08-21
1720697980 Christian Scott 4055 Spencer St #118, Las Vegas, NV 89119 2020-07-23
1376161315 Depth Psychological Services 10616 Zingali Ct, Las Vegas, NV 89141-4251 2020-07-07
1659993475 Judith Rosen 220 E Flamingo Rd Unit 423, Las Vegas, NV 89169-0306 2020-05-14
1912529066 Stacy Ilene Benham 2601 S Grand Canyon Dr Apt 2003, Las Vegas, NV 89117-3671 2020-05-12
1851912539 Angelique Charity Murguia 7928 Rushmore Ave, Las Vegas, NV 89131-1552 2020-05-04
1639703598 Lauren Fousek 610 S Rancho Drive, #a10, Las Vegas, NV 89106-8910 2020-02-28
1780217679 58 10 Behavioral Health Services Pllc 1810 E Sahara Ave Ste 212 373, Las Vegas, NV 89104-3707 2020-02-19
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Competitor

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City LAS VEGAS
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.