MEDICARE: MORGAN REED JIMENEZ LMSW

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	1041C0700X	Clinical Social Worker	12783-C	NV

General Provider Information

NPI Number	:	1861917130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN REED JIMENEZ LMSW

Provider Business Mailing Address
First Line	:	3450 E RUSSELL RD STE 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 W CHARLESTON BLVD STE 74
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1910
Country	:	US
Telephone Number	:	725-677-2713
Fax Number	:

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

Provider Enumeration Date	:	08/08/2017
Last Update Date	:	05/12/2026

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