MR. JOSEPH PATRICK MINNICK JR. (NPI# 1255958799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255958799 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH PATRICK MINNICK JR. |
| Credential | MSW |
| Practice Address |
1320 Red Gable Ln Unit 102 Las Vegas NV 89144-7012 |
| Mailing Address |
Po Box 620952 Las Vegas NV 89162-0952 |
| Practice Telephone | 1702275722 |
| Mailing Telephone | 7022757227 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 4160-S | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | STATE OF NEVADA BOARD OF EXAMINERS FOR SOCIAL WORKERS | 4160-S | 01 |
| AZ | BOARD OF HEALTH EXAMINERS | LMSW-17491 | 01 |
| Street Address |
1320 RED GABLE LN UNIT 102 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-7012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839216 | Arisha Miller | Social Worker | 3433 Algiers Dr Apt 1189, Las Vegas, NV 89115-2848 | 2020-10-21 |
| 1457960825 | Samantha Moore | Social Worker | 6543 Las Vegas Blvd S, Las Vegas, NV 89119-3223 | 2020-07-30 |
| 1740898493 | Donna Lynn Green | Social Worker | 10000 S Maryland Pkwy Apt 2098, Las Vegas, NV 89183-6392 | 2020-07-20 |
| 1033727193 | Whitney Janeen Davis | Social Worker | 2580 N Rancho Dr Ste 106, Las Vegas, NV 89130-3361 | 2020-07-15 |
| 1679196414 | Electronic Tax Center | Social Worker | 3450 Tanto Cir, Las Vegas, NV 89121-5047 | 2020-05-27 |
| 1750917548 | Derick Lewis Butler | Social Worker | 6236 Eugene Ave, Las Vegas, NV 89108-3311 | 2020-03-12 |
| 1629601026 | Mended | Social Worker | 6797 Conquistador St, Las Vegas, NV 89149-1315 | 2020-02-14 |
| 1518504745 | Maria Ann Speed | Social Worker | 6160 Rumrill St Unit 218, Las Vegas, NV 89113-7108 | 2019-12-06 |
| 1730734732 | Apollonia Sade Allen | Social Worker | 8610 S Maryland Pkwy Apt 1067, Las Vegas, NV 89123-2725 | 2019-08-06 |
| 1295387470 | Brittany Elise Corder | Social Worker | 5300 W Sahara Ave Ste 104, Las Vegas, NV 89146-0319 | 2019-07-09 |
| 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.