Individual provider Active NPI

Mary Sara Fridman, MSW, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1083191118
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13082-C Issued in NV
Practice address
4221 McLeod Dr
Las Vegas, NV 89121-5215
Phone
(702) 474-6450
NPI assigned
Jul 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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 13082-C NV Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 07974-I NV

Addresses

Primary practice location

4221 McLeod Dr
Las Vegas, NV 89121-5215

Mailing address

4221 McLeod Dr
Las Vegas, NV 89121-5215
Phone (702) 474-6450

Other practice location 1

415 S 6th St
Las Vegas, NV 89101-6940
Phone (702) 474-6450

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
I20260520003046 NV Practitioner - Clinical Social Worker 1254800055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4221 McLeod Dr
Las Vegas, NV 89121-5215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07974-INVMDAddiction (Substance Use Disorder) Counselor
13082-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nueva Vida Mental Health LLC Clinical CurrentSince Jan 15, 2023 Accepting new patients
Bridge Counseling Associates, Inc PastSince Apr 5, 2026 Accepting new patients
Pro-Health Therapeutic & Empowerment Services LLC PastSince Oct 8, 2023 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince Jan 15, 2023 Accepting new patients

Locations

4170 S Decatur Blvd
Ste C1
Las Vegas, NV 89103
Phone (702) 659-8827

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f9a6475a-3dbd-47b2-979a-55064cfdbd51/

Organizations & group practices 5

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": "1532131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1083191118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 MCLEOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215215",
            "telephone_number": "702-474-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 MCLEOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215215",
            "telephone_number": "702-474-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891016940",
            "country_code": "US",
            "telephone_number": "702-474-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIDMAN",
        "first_name": "MARY",
        "middle_name": "SARA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-21",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "13082-C",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "07974-I",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.