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	:	1485 W WARM SPRINGS RD STE 109
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-7632
Country	:	US
Telephone Number	:	702-486-0083
Fax Number	:

Provider Business Practice Location Address
First Line	:	1485 W WARM SPRINGS RD STE 109
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-7632
Country	:	US
Telephone Number	:	702-486-8200
Fax Number	:

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

Provider Enumeration Date	:	08/08/2017
Last Update Date	:	03/02/2026

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