Individual provider Active NPI

Heather Thanepohn, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1003051509
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5419-C Issued in NV
Practice address
500 N Casino Center Blvd
Las Vegas, NV 89101-2944
Phone
(702) 383-2888
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5419-C NV Primary

Addresses

Primary practice location

500 N Casino Center Blvd
Las Vegas, NV 89101-2944

Mailing address

500 N Casino Center Blvd
Las Vegas, NV 89101-2944

Other practice location 1

655 7th St Bldg 700700-A
78 MDG/Sgoh
Robins AFB, GA 31098-2227
Phone (478) 327-2399

Other names 1

  • Dr. Heather Stiawalt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5419-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapy Centers, LLC Past Accepting new patients
Linda Munro Psy D PA Clinical Past Accepting new patients
Comprehensive Therapy Centers, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1003051509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N CASINO CENTER BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CASINO CENTER BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012944",
            "telephone_number": "702-383-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 7th St Bldg 700700-A",
            "address_2": "78 MDG/SGOH",
            "address_purpose": "LOCATION",
            "city": "Robins AFB",
            "state": "GA",
            "postal_code": "310982227",
            "country_code": "US",
            "telephone_number": "478-327-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THANEPOHN",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5419-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "STIAWALT",
            "prefix": "DR.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.