Provider Type Icon

JENNIFER NYCOLE LIVELY-PAGLIUCA LCSW CADC NPI 1801358817


NPI Information

NPI: 1801358817
Provider Name: JENNIFER NYCOLE LIVELY-PAGLIUCA, LCSW, CADC
Classification: Social Worker - 104100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4700 LAS VEGAS BLVD N
NELLIS AFB, NV
ZIP 89191
Phone: (702) 653-2273
Get Directions

Jennifer Nycole Lively-pagliuca, LCSW, CADC is a social worker in Nellis Afb, NV. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Jennifer Nycole Lively-pagliuca, LCSW, CADC NPI is 1801358817. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4700 LAS VEGAS BLVD N
NELLIS AFB, NV
ZIP 89191-600
Phone: (702) 653-2273

The NPI 1801358817 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/1/2019 and was last updated on 8/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)00758-CNEVADANo
2104100000XSocial Worker8013-SNEVADANo
31041C0700XSocial WorkerClinicalIC-1311NEVADANo
41041C0700XSocial WorkerClinical9561-CNEVADANo
5104100000XSocial Worker9561-CNEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100758-COTHERNEVADACADC
29561-COTHERNEVADALCSW
3250002931MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.