Individual provider Active NPI

Robyn M Sottile

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1053666529
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6452-C Issued in NV
Practice address
2200 Paseo Verde Pkwy Ste 190
Henderson, NV 89052-2703
Phone
(702) 589-4871
NPI assigned
Jul 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 6452-C NV Primary

Addresses

Primary practice location

2200 Paseo Verde Pkwy Ste 190
Henderson, NV 89052-2703

Mailing address

2200 Paseo Verde Pkwy Ste 190
Henderson, NV 89052-2703
Phone (702) 589-4871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6452-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Solutions LLC Clinical CurrentSince May 18, 2021 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince May 18, 2021 Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

Organizations & group practices 2

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": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1053666529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PASEO VERDE PKWY STE 190",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522703",
            "telephone_number": "702-589-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PASEO VERDE PKWY STE 190",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522703",
            "telephone_number": "702-589-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTTILE",
        "first_name": "ROBYN",
        "middle_name": "M",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6452-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.