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CENTENNIAL PSYCHOLOGICAL SERVICES
NPI 1629319918
Social Worker - Clinical in Las Vegas, NV

Active since March 12, 2013
7495 W AZURE DR, STE 205, LAS VEGAS, NV 89130(702) 608-0404 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centennial Psychological Services NPPES

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

CENTENNIAL PSYCHOLOGICAL SERVICES (NPI 1629319918) is a healthcare organization registered as a clinical in Las Vegas, Nevada and active in the NPI registry since March 2013. The organization lists Nicole Pucci, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1629319918
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCENTENNIAL PSYCHOLOGICAL SERVICES
Location Address7495 W AZURE DR, STE 205Las Vegas, NV 89130-4416
Mailing Address7495 W Azure Dr, Ste 205Las Vegas, NV 89130-4416 · (702) 608-0404
Phone(702) 608-0404
Organization SubpartNo
Authorized OfficialNicole PucciClinical Director · (702) 278-8911
Enumeration DateMarch 12, 2013
✔ NPI 1629319918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NV · 6050-C
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.
7495 W AZURE DR, Las Vegas, NV 89130
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

KAITLIN MARIE COOK MS
Speech-Language Pathologist
7495 W AZURE DR
LAS VEGAS, NV 89130
Clark County (702) 515-4009
ALLIYAH HOWARD
Counselor (Mental Health)
7495 W AZURE DR
LAS VEGAS, NV 89130
Clark County (702) 608-7290
NISWONGER PSYCHOLOGICAL HEALTH, LLC
Social Worker (Clinical)
7495 W AZURE DR, SUITE #204
LAS VEGAS, NV 89130
Clark County (702) 768-2950
JAYLEEN S BURDAN
Behavior Technician
7495 W AZURE DR
LAS VEGAS, NV 89130
Clark County (170) 260-8729
DR. DENNIS THOMAS STOCK PH.D.
Psychologist (Clinical)
7495 W AZURE DR, # 259
LAS VEGAS, NV 89130
Clark County (702) 367-0393
CARINA D BARNUM LCSW
Social Worker (Clinical)
7495 W AZURE DR
LAS VEGAS, NV 89130
Clark County (702) 333-0035
KIM JOFFE
Occupational Therapist
7495 W AZURE DR
LAS VEGAS, NV 89130
Clark County (815) 519-1270
VANESSA ROCHA
Marriage & Family Therapist
7495 W AZURE DR
LAS VEGAS, NV 89130
Clark County (702) 608-9143

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 Centennial Psychological Services's NPI number?

The NPI number for Centennial Psychological Services is 1629319918. It was assigned to this organization in the NPPES registry on March 12, 2013.

Where is Centennial Psychological Services located?

Centennial Psychological Services is located at 7495 W Azure Dr Ste 205, Las Vegas, NV 89130. The listed phone number is (702) 608-0404.

What is Centennial Psychological Services'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 Centennial Psychological Services was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.