# NICOLAS PONZO, LCSW, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821388109
- **Authorized official:** MR. NICOLAS PONZO LCSW, M.ED (PRESIDENT)
- **Authorized official phone:** (702) 248-1169

## Contact information

- **Practice address:** 10161 PARK RUN DR, SUITE 150, LAS VEGAS, NV 89145-8871
- **Practice address phone:** (702) 248-1169
- **Mailing address:** 10161 PARK RUN DR, SUITE 150, LAS VEGAS, NV 89145-8871
- **Mailing address phone:** (702) 248-1169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 01258C | NV | Yes |

## Other

- **Enumeration date:** 04/08/2011
- **Last updated:** 04/08/2011