Individual provider Active NPI

Arnold O Gillo, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1093147316
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7759-C Issued in NV
Practice address
6166 S Sandhill Rd Ste 108
Las Vegas, NV 89120-3216
Phone
(801) 695-2987
NPI assigned
Aug 9, 2013
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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 8951247-3501 UT
Clinical Social Worker 1041C0700X 7759-C NV Primary

Addresses

Primary practice location

6166 S Sandhill Rd Ste 108
Las Vegas, NV 89120-3216

Mailing address

6166 S Sandhill Rd Ste 108
Las Vegas, NV 89120-3216
Phone (801) 625-3700

Other identifiers 1

IdentifierTypeStateIssuer
876000308007MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180213001862 NV Practitioner - Clinical Social Worker 6901166909 Reassigns benefits to 1 organization
Practice locations: Las Vegas, NV
I20230905001425 UT Practitioner - Clinical Social Worker 6901166909 Practice locations: Layton, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neubauer Mental Health Services, Apc Clinical CurrentSince Jan 1, 2018 Accepting new patients
Pinnacle Mental Health Services Inc Clinical PastSince Aug 27, 2020 Accepting new patients
Behavioral Health Consultants LLC PastSince Jan 1, 2020 Accepting new patients

Locations

5426 Vegas Dr
Las Vegas, NV 89108
Phone (702) 806-5268

5426 Vegas Dr
Ste A
Las Vegas, NV 89108
Phone (702) 488-8754

Organizations & group practices 3

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": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1093147316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6166 S SANDHILL RD STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203216",
            "telephone_number": "801-625-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6166 S SANDHILL RD STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203216",
            "telephone_number": "801-695-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLO",
        "first_name": "ARNOLD",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-09",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8951247-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7759-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000308007",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.