ABBIE M KICKENDALL (NPI# 1508124389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508124389 |
| Entity Type | Individual |
| Full Name | ABBIE M KICKENDALL |
| Credential | PHD |
| Practice Address |
4955 S Durango Dr Ste 207 Las Vegas NV 89113-0156 |
| Practice Telephone | 7026506508 |
| Practice Fax Number | 7026506508 |
| Mailing Telephone | 7026506508 |
| Mailing Fax Number | 7026506508 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
4955 S DURANGO DR STE 207 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89113-0156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689975765 | Lluvia Lanuza | Psychologist | 4955 S Durango Dr Ste 207, Las Vegas, NV 89113-0156 | 2010-11-05 |
| 1780028860 | Valentina Soares | Psychologist | 4955 S Durango Dr Ste 207, Las Vegas, NV 89113-0156 | 2013-04-19 |
| 1376894410 | Cindy Flores | Psychologist | 4955 S Durango Dr Ste 207, Las Vegas, NV 89113-0156 | 2012-09-28 |
| 1285980649 | April Tripp | Psychologist | 4955 S Durango Dr Ste 207, Las Vegas, NV 89113-0156 | 2012-08-02 |
| 1538432059 | Donna Mae Canaria | Psychologist | 4955 S Durango Dr Ste 207, Las Vegas, NV 89113-0156 | 2012-02-14 |
| 1801169420 | Ellen Stark | Psychologist | 4955 S Durango Dr Ste 207, Las Vegas, NV 89113-0156 | 2012-02-13 |
| 1861760266 | Valerie Phillips | Psychologist | 4955 S Durango Dr Ste 207, Las Vegas, NV 89113-0156 | 2011-12-13 |
| 1851678098 | Guillermina Arambula | Psychologist | 4955 S Durango Dr Ste 207, Las Vegas, NV 89113-0156 | 2011-11-15 |
| 1619250453 | Adam Batchelder | Psychologist | 4955 S Durango Dr Ste 207, Las Vegas, NV 89113-0156 | 2011-09-27 |
| 1376826115 | Valerie Barnes | Psychologist | 4955 S Durango Dr Ste 207, Las Vegas, NV 89113-0156 | 2011-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
| 1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
| 1831742758 | Lyass PC A Professional Medical Corp | Clinic/Center | 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 | 2019-07-19 |
| 1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
| 1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
| 1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
| 1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| Find all providers in zip 89113 | ||||
| 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.