SHAWN MANGO


Address: 730 W Cheyenne Ave, Suite 60, North Las Vegas, NV 89030-7848
Phone: 7022580031

SHAWN MANGO (NPI# 1710371513) 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) 1710371513
Entity Type Individual
Full Name SHAWN MANGO
Credential LCSW
Practice Address 730 W Cheyenne Ave
Suite 60
North Las Vegas
NV 89030-7848
Practice Telephone 7022580031
Practice Fax Number 7022210103
Mailing Telephone 7022580031
Mailing Fax Number 7022210103
Enumeration Date 2015-03-19
Last Update Date 2015-03-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
5239-S NV Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV NEVADA STATE BOARD OF EXAMINERS FOR SOCIAL WORKERS 5239-S 01

Office Location

Street Address 730 W CHEYENNE AVE
SUITE 60
City NORTH LAS VEGAS
State NV
Zip Code 89030-7848

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710418611 Angelia Alexander Counselor 730 W Cheyenne Ave, Suite 60, North Las Vegas, NV 89030-7848 2017-03-22
1669915641 Nicole Sutton Behavioral Analyst 730 W Cheyenne Ave, 60, North Las Vegas, NV 89030-7848 2016-11-23
1477900868 The Lighthouse of Love In Home Supportive Care 730 W Cheyenne Ave, Suite 50, North Las Vegas, NV 89030-7848 2016-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043819063 Ma Guadalupe Ramos Michel Technician 2415 Reynolds Ave #101, Las Vegas, NV 89030 2020-10-21
1558968214 Arturo Juarez Magana Technician 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 2020-10-06
1669088407 Olivia Lizbeth Santillan-trinidad Technician 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 2020-09-17
1508471640 Fabian Aaron Alvarado-perales Technician 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 2020-09-15
1063047934 Adriana Lopez Technician 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 2020-03-11
1881234078 Blanca E Rangel Silva Technician 2810 Equador Ct, Las Vegas, NV 89030 2020-01-15
1598314445 Julia Gonzalez Technician 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 2019-09-04
1487201901 Mayra Gutierrez Technician 2415 Reynolds Av. #100, Las Vegas, NV 89030 2019-08-20
1639725799 Idalia Ruiz Technician 2415 Reynolds Ave, Las Vegas, NV 89030 2019-08-14
1548815616 Rd Prabhu-lata K Shete Mds Ltd Clinic/Center 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 2019-08-06
Find all providers in zip 89030

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
1093292823 Tela Marie Wilson Social Worker 3050 W Cheyenne Ave Ste 130, North Las Vegas, NV 89032-6025 2018-07-24
1265920763 Manuela Reid Daniels Social Worker 5604 Willowcreek Rd, North Las Vegas, NV 89031-1417 2018-04-30
1043745557 Victor Shawn Ingram Social Worker 4109 California Condor Ave, North Las Vegas, NV 89084-4804 2017-04-23
1295108827 Temieka Meadows Social Worker 6036 Theatrical Rd, North Las Vegas, NV 89031-0619 2015-11-04
1336531946 Leslie Glaze Social Worker 2220 W San Miguel Ave, North Las Vegas, NV 89032-3062 2015-02-19
1730580168 Linnetta Ruth Cooley Social Worker 4345 Hatch Bend Ave, North Las Vegas, NV 89031-4302 2014-09-04
1174938518 Carl Crockham Social Worker 4325 W Rome Blvd Apt 1184, North Las Vegas, NV 89084-5409 2014-06-24
1255670873 Trailways Inc Social Worker 2832 Tilten Kilt Ave, North Las Vegas, NV 89081-6570 2013-02-01
1114285269 Trailways Inc. Social Worker 3118 Bradford Hill Ave, North Las Vegas, NV 89031-2292 2012-04-26
1578857546 Nina Clark Anderson Social Worker 3925 N Mlk Blvd Ste 212, North Las Vegas, NV 89032-7676 2011-06-07
Find all providers in NORTH LAS VEGAS

Competitor

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City NORTH LAS VEGAS
Zip Code 89030

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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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