MR. PAUL LAWRENCE A DEFIESTA MSW, LCSWA, LMSW
NPI 1184246597
Social Worker - Clinical in Nellis Afb, NV

Active since May 08, 2020
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2273 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2024, Jul 28, 2020, May 8, 2020 (3 updates tracked since 2020).

About Mr. Paul Lawrence A Defiesta Msw, Lcswa, Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL LAWRENCE A DEFIESTA MSW, LCSWA, LMSW (NPI 1184246597) is an individual clinical provider in Nellis Afb, Nevada, licensed in Nevada (10499-M) and active in the NPI registry since May 2020. He maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1184246597
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PAUL LAWRENCE A DEFIESTACredential: MSW, LCSWA, LMSW
Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600
Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2273
Sole ProprietorYes
Enumeration DateMay 8, 2020
Last NPPES UpdateApril 18, 20243 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
NPI 1184246597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NV · 10499-M Licensed in NC · P014490
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

Other Names 1

Other Name (5)Mr. Lawrence A Defiesta Msw, Lcswa

Secondary Practice Location 1

Location 18501 Tower Point Dr Ste A212Charlotte, NC 28227-7849 · Phone (980) 655-0393

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Integrative Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Physical Therapist (Orthopedic)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Obstetrics & Gynecology
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Psychiatry & Neurology (Neurology)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Emergency Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Pharmacist
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Lawrence Defiesta's NPI number?

The NPI number for Paul Lawrence Defiesta is 1184246597. It was assigned to this individual provider in the NPPES registry on May 8, 2020. The provider is also known as Mr. Lawrence A Defiesta Msw, Lcswa.

Where is Paul Lawrence Defiesta located?

Paul Lawrence Defiesta practices at 4700 Las Vegas Blvd N, Nellis Afb, NV 89191. The listed phone number is (702) 653-2273.

What is Paul Lawrence Defiesta's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Paul Lawrence Defiesta was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.