LIZA ANNE LARA (NPI# 1174165021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174165021 |
| Entity Type | Individual |
| Full Name | LIZA ANNE LARA |
| Credential | LCSW |
| Practice Address |
6161 W Charleston Blvd Las Vegas NV 89146-1126 |
| Practice Telephone | 7024864436 |
| Practice Fax Number | 7024864436 |
| Mailing Telephone | 7024864436 |
| Mailing Fax Number | 7024864436 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7779-C | NV | Behavioral Health & Social Service Providers |
| Street Address |
6161 W CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891756920 | State of Nevada | Psychiatric Hospital | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2006-03-29 |
| 1265055222 | John Potter | Counselor | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-05-26 |
| 1407357114 | Joann Mundin | Psychiatry & Neurology | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2018-02-27 |
| 1316345788 | Alma Bautista Manlangit | Registered Nurse | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2014-12-16 |
| 1770997926 | Sean Elder | Specialist/Technologist, Other | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2014-06-16 |
| 1649684028 | Christopher Fyfe | Psychologist | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2014-06-13 |
| 1770995656 | Brooks One Recovery Services | Nurse Practitioner | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2014-05-27 |
| 1770903437 | Michael Cooper | Social Worker | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2014-04-21 |
| 1396160347 | Timothy Wathen | Registered Nurse | 6161 W Charleston Blvd, Bldg 1, Las Vegas, NV 89146-1126 | 2014-02-27 |
| 1033533872 | Acel Carlos | Registered Nurse | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2014-02-14 |
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| 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 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 |
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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.