Healthcare Provider Details

I. General information

NPI: 1770198392
Provider Name (Legal Business Name): JOSEPH DENNI CAYTON BRUGADA CSW-I
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 S JONES BLVD
LAS VEGAS NV
89146-1260
US

IV. Provider business mailing address

1350 S JONES BLVD STE 220
LAS VEGAS NV
89146-1233
US

V. Phone/Fax

Practice location:
  • Phone: 702-486-0000
  • Fax: 702-486-7742
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10783-M
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: