Individual provider Active NPI

Warren John Wheatley, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1033327580
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
01665-C Issued in NV
Practice address
6900 Westcliff Dr Ste 504
Las Vegas, NV 89145-0198
Phone
(702) 778-9875
Fax
(702) 778-9863
NPI assigned
May 18, 2007
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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 01665-C NV Primary

Addresses

Primary practice location

6900 Westcliff Dr Ste 504
Las Vegas, NV 89145-0198

Mailing address

6900 Westcliff Dr Ste 504
Las Vegas, NV 89145-0198
Phone (702) 250-2520

Other identifiers 1

IdentifierTypeStateIssuer
100532491MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140610001089 NV Practitioner - Clinical Social Worker 1557585791 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6900 Westcliff Dr
Suite 504
Las Vegas, NV 89145-0198
Phone (702) 250-2520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01665-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wheatley de Forge Foundation PastSince Jul 10, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1033327580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 WESTCLIFF DR STE 504",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450198",
            "telephone_number": "702-250-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 WESTCLIFF DR STE 504",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450198",
            "telephone_number": "702-778-9875",
            "fax_number": "702-778-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "WARREN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "01665-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100532491",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.