Active NPI
Kasia Caldwell, LCSW, PLLC
- Clinical Social Worker
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kasia Caldwell, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8349-C | Other | NV | STATE OF NV BOARD OF EXAMINERS FOR SOCIAL WORKERS |
| 6925313-3501 | Other | UT | STATE OF UTAH DEPARTMENT OF COMMERCE |
Other names 1
- Intentional Living Academy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, UT
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.
-
- Massage Therapist
- Henderson, NV
- NPI 1821681115
-
- Professional Counselor
- Las Vegas, NV
- NPI 1891194585
-
- Clinical Social Worker
- Lehi, UT
- NPI 1043448764
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.