Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy J Song, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1134416324

Amy J Song, MSW, LICSW is a Clinical Social Worker in Nellis AFB, Nevada. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60422621 (WA)
Massage Therapist Taxonomy 225700000X · Licence MA60319179 (WA)

Record details

NPI number1134416324
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedJuly 7, 2011
Last updated in NPPESJuly 21, 2022

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