Individual provider Active NPI

Lori Earlene Sather, LMSW, CSW INTERN

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1063291284
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-2300 Issued in NV
Practice address
4485 S Buffalo Dr
Las Vegas, NV 89147-5006
Phone
(702) 900-2169
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10983-M NV
Clinical Social Worker 1041C0700X IC-2300 NV Primary

Addresses

Primary practice location

4485 S Buffalo Dr
Las Vegas, NV 89147-5006

Mailing address

1290 W Horizon Ridge Pkwy Apt 2621
Henderson, NV 89012-5539
Phone (801) 201-7007

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

LicenseStateTypeSpecialty
10983-MNVMDSocial Worker
IC-2300NVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1063291284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 W HORIZON RIDGE PKWY APT 2621",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125539",
            "telephone_number": "801-201-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 S BUFFALO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475006",
            "telephone_number": "702-900-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHER",
        "first_name": "LORI",
        "middle_name": "EARLENE",
        "credential": "LMSW, CSW INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-10-09",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "10983-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-2300",
            "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 Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.