KELLIE KING


Address: 2980 S Rainbow Blvd, Las Vegas, NV 89146-6531
Phone: 8506026809

KELLIE KING (NPI# 1780199828) 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) 1780199828
Entity Type Individual
Full Name KELLIE KING
Credential CSW-INTERN
Practice Address 2980 S Rainbow Blvd
Las Vegas
NV 89146-6531
Mailing Address 8216 Fowler Falls Ct
North Las Vegas
NV 89085-4432
Practice Telephone 8506026809
Enumeration Date 2017-12-12
Last Update Date 2017-12-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
IC-1164 NV Behavioral Health & Social Service Providers

Other Providers KELLIE KING

NPI Name Taxonomy Address Enumeration
1316554264 Kellie Ruth King Nurse Practitioner 7043 Miramar, Grand Prairie, TX 75054-5563 2020-09-24
1609245034 Kellie Victoria King Massage Therapist 1800 West Cummings Avenue, Opp, AL 36467 2015-09-16
1912221839 Kellie Denise King Counselor 1737 Linwood Blvd, Oklahoma City, OK 73106-5037 2010-03-22
1508087081 Kellie Joiner King Social Worker 709 Main St., Bayboro, NC 28515 2007-05-01
1740890201 Kellie King Nurse Practitioner 7575 Northcliff Ave, Brooklyn, OH 44144-3267 2020-08-08
1568946150 Kellie King Nurse Practitioner 508 N Main St Ste A, Hinesville, GA 31313-2570 2018-09-19
1588892491 Kellie L King Genetic Counselor, MS 1120 15th St, Augusta, GA 30912-0004 2009-06-30

Office Location

Street Address 2980 S RAINBOW BLVD
City LAS VEGAS
State NV
Zip Code 89146-6531

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093874992 Frederick Eagles Pope Psychiatry & Neurology 2980 S Rainbow Blvd, Suite 210 G, Las Vegas, NV 89146-6531 2006-12-06
1790131811 Jennifer Vosseler Counselor 2980 S Rainbow Blvd, #200-a, Las Vegas, NV 89146-6531 2016-05-07
1316328248 Gregory Trock Social Worker 2980 S Rainbow Blvd, Las Vegas, NV 89146-6531 2015-06-16
1356731079 Tia Jenkins Counselor 2980 S Rainbow Blvd, Suite 200 D, Las Vegas, NV 89146-6531 2015-02-02
1023408747 Christine Sutton Counselor 2980 S Rainbow Blvd, Suite 200 D, Las Vegas, NV 89146-6531 2015-02-02
1780080325 Mariah Andrea Boykin Social Worker 2980 S Rainbow Blvd, Las Vegas, NV 89146-6531 2014-11-10
1306248901 David Nichols Social Worker 2980 S Rainbow Blvd, Las Vegas, NV 89146-6531 2014-09-25
1326453838 Lkbg LLC Social Worker 2980 S Rainbow Blvd, Suite 200a, Las Vegas, NV 89146-6531 2014-06-23
1912310368 Aspire Mental Health LLC Social Worker 2980 S Rainbow Blvd, Las Vegas, NV 89146-6531 2014-06-03
1356695084 Lynn Dale Larson Psychologist 2980 S Rainbow Blvd, Suite 200a, Las Vegas, NV 89146-6531 2012-11-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821607193 State of Nevada Community/Behavioral Health 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 2020-07-23
1730726597 Jenna Leigh White Occupational Therapist 2012 S Jones Blvd., Las Vegas, NV 89146 2019-11-28
1649828898 Rocio Ferat Chore Provider 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 2019-08-30
1912554007 Juan Zamora Chore Provider 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 2019-08-22
1407402530 Elia Rocio Vargas-sifuentes Chore Provider 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 2019-08-14
1740834050 Zi Wang Physician Assistant 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 2019-07-25
1871145565 Virginia Lopez Lopez Chore Provider 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 2019-07-12
1962054726 Nona Sixta Q Baldonado Technician 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 2019-07-11
1326600701 Thelma Moreno Cerros Chore Provider 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 2019-07-05
1992367866 Carolina Perez Chore Provider 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 2019-07-01
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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
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
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Competitor

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City LAS VEGAS
Zip Code 89146

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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.

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