Individual provider Active NPI

Monique Harris, MSW, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1063672681
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6969C Issued in NV
Practice address
2255 Renaissance Dr Ste a
Las Vegas, NV 89119-6194
Phone
(702) 809-9339
NPI assigned
Jun 17, 2008
Last updated
May 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6969C NV Primary
Social Worker 104100000X 5139-S NV

Addresses

Primary practice location

2255 Renaissance Dr Ste a
Las Vegas, NV 89119-6194

Mailing address

6440 Sea Swallow St
North Las Vegas, NV 89084-2822
Phone (702) 809-9339

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
I20160302002224 NV Practitioner - Clinical Social Worker 5597088021 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5139-SNVMDSocial Worker
6969CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Solution CurrentSince May 23, 2025 Accepting new patients
Southern Nevada Children First Past Accepting new patients

Locations

4130 N Martin L King Blvd
North Las Vegas, NV 89032
Phone (702) 485-1313

Organizations & group practices 4

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1063672681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 SEA SWALLOW ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842822",
            "telephone_number": "702-809-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 RENAISSANCE DR STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196194",
            "telephone_number": "702-809-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MONIQUE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6969C",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "5139-S",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.