Healthcare Provider Details

I. General information

NPI: 1376267989
Provider Name (Legal Business Name): CLAUDIA SEGUI JIMENEZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3890 W ANN RD
NORTH LAS VEGAS NV
89031-4416
US

IV. Provider business mailing address

3890 W ANN RD
NORTH LAS VEGAS NV
89031-4416
US

V. Phone/Fax

Practice location:
  • Phone: 702-287-8895
  • Fax:
Mailing address:
  • Phone: 702-362-7455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12621-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: