IndividualActive
Amy Song, MSW, LICSW
NPI 1134416324 · Clinical Social Worker · Nellis Afb, NV
Provider details
- NPI number
- 1134416324
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LW60422621 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone: (702) 653-2965
Approximate (ZIP-level) locationGet directions
Mailing address
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6601
Registry dates
- Enumerated
- 2011-07-07
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.