Provider Demographics
NPI:1962079871
Name:SINGLETON, JUJARAW (LMSW)
Entity type:Individual
Prefix:
First Name:JUJARAW
Middle Name:
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5330 E CHARLESTON BLVD UNIT 41
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89142-1060
Mailing Address - Country:US
Mailing Address - Phone:414-412-7449
Mailing Address - Fax:
Practice Address - Street 1:2215 RENAISSANCE DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6163
Practice Address - Country:US
Practice Address - Phone:702-471-0470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8489-M104100000X
NV8489-81041C0700X
NVIC-17721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker