Individual provider Active NPI

Maura Teresa Alcazar, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1114547197
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10380-C Issued in NV
Practice address
2500 Chandler Ave Ste 3
Las Vegas, NV 89120-4064
Phone
(725) 204-8809
NPI assigned
Apr 20, 2020
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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 10380-C NV Primary

Addresses

Primary practice location

2500 Chandler Ave Ste 3
Las Vegas, NV 89120-4064

Mailing address

4072 Lilac Creek CT
Las Vegas, NV 89122-3583
Phone (702) 927-5398

Other practice location 1

1005 S Cimarron Rd
Las Vegas, NV 89145-2447
Phone (702) 830-9740

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
FDV Wellness Center Clinical CurrentSince Sep 10, 2023 Accepting new patients
US Holdings LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

1005 S Cimarron Rd
Las Vegas, NV 89145
Phone (702) 830-9740

2500 Chandler Ave
Ste 3
Las Vegas, NV 89120
Phone (725) 204-8809

Organizations & group practices 2

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1114547197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4072 LILAC CREEK CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891223583",
            "telephone_number": "702-927-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CHANDLER AVE STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204064",
            "telephone_number": "725-204-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 S Cimarron Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891452447",
            "country_code": "US",
            "telephone_number": "702-830-9740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALCAZAR",
        "first_name": "MAURA",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10380-C",
            "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 Sep 5, 2023; 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.