Individual provider Active NPI

Suzanne Pyne, LMSW, CSW-I

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1083452171
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-2486 Issued in NV
Practice address
2980 S Rainbow Blvd # 210D
Las Vegas, NV 89146-6531
Phone
(702) 673-7462
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IC-2486 NV Primary

Addresses

Primary practice location

2980 S Rainbow Blvd # 210D
Las Vegas, NV 89146-6531

Mailing address

10410 Irish Cliffs CT
Las Vegas, NV 89149-1259
Phone (702) 271-4164

Other practice location 1

10161 Park Run Dr Ste 150
Las Vegas, NV 89145-8872
Phone (213) 259-3404

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
IC-2486NVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1083452171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 IRISH CLIFFS CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891491259",
            "telephone_number": "702-271-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 S RAINBOW BLVD # 210D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466531",
            "telephone_number": "702-673-7462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10161 Park Run Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891458872",
            "country_code": "US",
            "telephone_number": "213-259-3404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYNE",
        "first_name": "SUZANNE",
        "credential": "LMSW, CSW-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-2486",
            "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 Jul 15, 2024; 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.