Organization Active NPI

Kasia Caldwell, LCSW, PLLC

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1063015949
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KASIA CALDWELL, LCSW, PLLC
Practice address
801 S Rancho Dr Ste E3A
Las Vegas, NV 89106-3812
Phone
(702) 620-9354
Fax
(702) 819-9516
NPI assigned
Nov 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Authorized official

Name
Kasia Caldwell, LCSWNPI 1528575271
Title
Ceo
Phone
(702) 620-9354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

801 S Rancho Dr Ste E3A
Las Vegas, NV 89106-3812

Mailing address

801 S Rancho Dr Ste E3A
Las Vegas, NV 89106-3812
Phone (702) 620-9354

Other practice location 1

98 W Main St
Lehi, UT 84043-2144
Phone (702) 620-9354

Other identifiers 2

IdentifierTypeStateIssuer
8349-COtherNVSTATE OF NV BOARD OF EXAMINERS FOR SOCIAL WORKERS
6925313-3501OtherUTSTATE OF UTAH DEPARTMENT OF COMMERCE

Other names 1

  • Intentional Living Academy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210223001587 NV Part B Supplier - Clinic/Group Practice 8426463589 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20240327002385 UT Part B Supplier - Clinic/Group Practice 8426463589 Receives reassigned benefits from 1 practitioner
Practice locations: Lehi, UT

National Provider Directory

National Provider Directory

Locations

801 S Rancho Dr
Ste E3A
Las Vegas, NV 89106
Phone (702) 540-8680

6628 Sky Pointe Dr
Ste 115
Las Vegas, NV 89131
Phone (702) 620-9354

98 W Main St
Lehi, UT 84043
Phone (702) 620-9354

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1063015949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE E3A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063812",
            "telephone_number": "702-620-9354",
            "fax_number": "702-819-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE E3A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063812",
            "telephone_number": "702-620-9354",
            "fax_number": "702-819-9516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840432144",
            "country_code": "US",
            "telephone_number": "702-620-9354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KASIA CALDWELL, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "KASIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-620-9354",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NV BOARD OF EXAMINERS FOR SOCIAL WORKERS",
            "identifier": "8349-C",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH DEPARTMENT OF COMMERCE",
            "identifier": "6925313-3501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intentional Living Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.