MEDICARE: MS. JESSICA L. BIGELSEN LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker	11332-C	NV

General Provider Information

NPI Number	:	1427553015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JESSICA L. BIGELSEN LSW

Provider Business Mailing Address
First Line	:	8920 W RUSSELL RD UNIT 1058
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-1506
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8920 W RUSSELL RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-1503
Country	:	US
Telephone Number	:	848-207-4828
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2018
Last Update Date	:	12/15/2025

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