Individual provider Active NPI

Elsa Ivonne Villalobos, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1124032214
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4911-C Issued in NV
Practice address
1771 E Flamingo Rd Ste 120a
Las Vegas, NV 89119-0837
Phone
(702) 318-7550
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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 4911-C NV Primary

Addresses

Primary practice location

1771 E Flamingo Rd Ste 120a
Las Vegas, NV 89119-0837

Mailing address

1771 E Flamingo Rd Ste 120a
Las Vegas, NV 89119-0837
Phone (702) 318-7550

Other practice location 1

3530 E Flamingo Rd Ste 140
Las Vegas, NV 89121-5008
Phone (702) 202-4240

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
I20080825000264 NV Practitioner - Clinical Social Worker 6406921550 Reassigns benefits to 1 organization
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Behavioral Services LLCGroup PAC ID 5294239406, 2 clinicians

Practice addresses (Care Compare)

1771 E Flamingo Rd
Las Vegas, NV 89119-5156
Phone (702) 824-4548

4680 S Eastern Ave
Suite B
Las Vegas, NV 89119-6192
Phone (702) 665-5035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Behavioral Services LLC CurrentSince Aug 7, 2025 Accepting new patients
Evolving Minds Behavioral Health Services Clinical PastSince Jan 17, 2021 Accepting new patients
Gerona Porcel LLC PastSince Sep 25, 2019 Accepting new patients

Locations

4680 S Eastern Ave
Ste B
Las Vegas, NV 89119
Phone (702) 454-4336

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1124032214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 120A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190837",
            "telephone_number": "702-318-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 120A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190837",
            "telephone_number": "702-318-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 E Flamingo Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891215008",
            "country_code": "US",
            "telephone_number": "702-202-4240",
            "fax_number": "702-680-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "ELSA",
        "middle_name": "IVONNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "4911-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.