Individual provider · Type 1 NPI
Genesis Lightbourne
Clinical Social Worker · North Las Vegas, NV
Practice location
3925 Martin Luther King B, Suite 212
North Las Vegas, NV 89032
Mailing address
1640 E Flamingo Rd, #100
Las Vegas, NV 89119-5249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 12959-C (NV) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Clinical Social Worker: 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 interpers…
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About NPI 1649543471
Genesis Lightbourne's National Provider Identifier is 1649543471, issued on Feb 9, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Las Vegas, NV. The record was last updated on Mar 11, 2026.