Active NPI
Gerald R Earl, MSSW
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1013094457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 01219-C
- Practice address
- 3131 La Canada St Ste 216
Las Vegas, NV 89109-2579 - Phone
- (702) 636-3000
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 01219-C | NV | Primary |
Addresses
Primary practice location
3131 La Canada St Ste 216
Las Vegas, NV 89109-2579
Mailing address
9409 Rolling Ridge LN
Las Vegas, NV 89134-0150
Phone (702) 360-0445
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01219-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013094457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9409 ROLLING RIDGE LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891340150",
"telephone_number": "702-360-0445",
"fax_number": "702-360-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 LA CANADA ST STE 216",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092579",
"telephone_number": "702-636-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARL",
"first_name": "GERALD",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MSSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "01219-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.