Individual provider Active NPI

Christina Parise

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1114222536
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8099-C Issued in NV
Practice address
3097 E Warm Springs Rd Ste 400
Las Vegas, NV 89120-3757
Phone
(702) 582-6063
Fax
(702) 825-0093
NPI assigned
Jan 14, 2011
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 8099-C NV Primary

Addresses

Primary practice location

3097 E Warm Springs Rd Ste 400
Las Vegas, NV 89120-3757

Mailing address

5615 S Pecos Rd
Las Vegas, NV 89120-1961
Phone (702) 736-8100

Other practice location 1

2675 S Jones Blvd Ste 102
Las Vegas, NV 89146-5607
Phone (702) 951-9751

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
I20200203000128 NV Practitioner - Clinical Social Worker 6002242559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1489 W Warm Springs Rd
Suite 110
Henderson, NV 89014-7367
Phone (702) 582-6063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1114222536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201961",
            "telephone_number": "702-736-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3097 E WARM SPRINGS RD STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203757",
            "telephone_number": "702-582-6063",
            "fax_number": "702-825-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2675 S Jones Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465607",
            "country_code": "US",
            "telephone_number": "702-951-9751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARISE",
        "first_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8099-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.