AMY ELLWOOD (NPI# 1447238258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447238258 |
| Entity Type | Individual |
| Full Name | AMY ELLWOOD |
| Credential | M.S.W. |
| Practice Address |
2410 Fire Mesa St #180, Family Practice Center Las Vegas NV 89128-9016 |
| Mailing Address |
2410 Fire Mesa St Ste 180 Family Practice Center Las Vegas NV 89128-9017 |
| Practice Telephone | 7029926888 |
| Practice Fax Number | 7029926880 |
| Mailing Telephone | 7029926888 |
| Mailing Fax Number | 7029926880 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2013-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
01405-C | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100500818 | 05 |
| Street Address |
2410 FIRE MESA ST #180, FAMILY PRACTICE CENTER |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-9016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235664020 | Betty Omandac | Nurse Practitioner | 2410 Fire Mesa St, Suite 160, Las Vegas, NV 89128-9016 | 2017-04-28 |
| 1851822969 | Hannah Hosotani | Student in an Organized Health Care Education/Training Program | 2410 Fire Mesa St, Suite 180, Las Vegas, NV 89128-9016 | 2017-03-22 |
| 1164953097 | David Masuck | Student in an Organized Health Care Education/Training Program | 2410 Fire Mesa St, Suite 180, Las Vegas, NV 89128-9016 | 2017-03-22 |
| 1750741740 | Genesis Wound Care of Las Vegas, LLC | Podiatrist | 2410 Fire Mesa St, Suite 160, Las Vegas, NV 89128-9016 | 2016-03-03 |
| 1366838567 | Hind Elsanousy | Family Medicine | 2410 Fire Mesa St, Suite 180, Las Vegas, NV 89128-9016 | 2015-04-14 |
| 1588058044 | Rajiv Jeyakumar Ganesan | Family Medicine | 2410 Fire Mesa St, Suite 180, Las Vegas, NV 89128 | 2015-03-23 |
| 1720472376 | Kathy Lao | Student in an Organized Health Care Education/Training Program | 2410 Fire Mesa St, Suite 180, Las Vegas, NV 89128-9016 | 2015-03-21 |
| 1487071825 | Harsh Patel | Student in an Organized Health Care Education/Training Program | 2410 Fire Mesa St, Suite 180, Las Vegas, NV 89128-9016 | 2014-03-24 |
| 1164864963 | Anthony V Borgia Dpm Pllc | Podiatrist | 2410 Fire Mesa St, Ste 160, Las Vegas, NV 89128-9016 | 2013-07-22 |
| 1528355609 | Yenh Mi Long | Pharmacist | 2410 Fire Mesa St, Las Vegas, NV 89128-9016 | 2011-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933067 | Michelle Rocha | Social Worker | 5912 Kit Cove Ct, Las Vegas, NV 89131-2088 | 2020-08-21 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1376161315 | Depth Psychological Services | Social Worker | 10616 Zingali Ct, Las Vegas, NV 89141-4251 | 2020-07-07 |
| 1659993475 | Judith Rosen | Social Worker | 220 E Flamingo Rd Unit 423, Las Vegas, NV 89169-0306 | 2020-05-14 |
| 1912529066 | Stacy Ilene Benham | Social Worker | 2601 S Grand Canyon Dr Apt 2003, Las Vegas, NV 89117-3671 | 2020-05-12 |
| 1851912539 | Angelique Charity Murguia | Social Worker | 7928 Rushmore Ave, Las Vegas, NV 89131-1552 | 2020-05-04 |
| 1639703598 | Lauren Fousek | Social Worker | 610 S Rancho Drive, #a10, Las Vegas, NV 89106-8910 | 2020-02-28 |
| 1780217679 | 58 10 Behavioral Health Services Pllc | Social Worker | 1810 E Sahara Ave Ste 212 373, Las Vegas, NV 89104-3707 | 2020-02-19 |
| 1801428602 | Chasstiry Vazquez | Social Worker | 2215 Renaissance Dr Ste C, Las Vegas, NV 89119-6729 | 2020-02-10 |
| 1437707486 | Charlene Miranda Paule | Social Worker | 2340 Paseo Del Prado Ste D110, Las Vegas, NV 89102-4340 | 2019-09-03 |
| Find all providers in LAS VEGAS | ||||
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| 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.