Healthcare Provider Details

I. General information

NPI: 1417753286
Provider Name (Legal Business Name): KIMISHA CAUSEY MPH, MSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5135 CAMINO AL NORTE STE 230
NORTH LAS VEGAS NV
89031-2391
US

IV. Provider business mailing address

5135 CAMINO AL NORTE STE 230
NORTH LAS VEGAS NV
89031-2391
US

V. Phone/Fax

Practice location:
  • Phone: 702-853-6727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberIC-2643
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: