Lina Lorence

Primary specialty

Social WorkerTaxonomy code 104100000X

License

9590-M Issued in NV

Practice address

1120 Shadow LN Ste 120
Las Vegas, NV 89102-2342

Phone

(702) 382-7746

NPI assigned

Sep 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

University of Nevada School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Changing Minds Psychiatry LLCGroup PAC ID 8820365729, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Changing Minds Psychiatry LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1821537242
  Medicare reassignment Care Compare group NPD
• Crossroads Saint LLC

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1659834075
  NPD (past)
• Pro-Health Therapeutic & Empowerment Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1013330695
  NPD (past)
• Pro-Health Therapeutic & Empowerment Services LLC

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1053967265
  NPD (past)

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1124502117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 SHADOW LN STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022342",
            "telephone_number": "702-595-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SHADOW LN STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022342",
            "telephone_number": "702-382-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENCE",
        "first_name": "LINA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "9590-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124502117",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Edward Lords, D.D.S.
• Jennifer Loredo
• Lorena Falcon
• Charles Lauren Macasinag Lorena
• Deborah Anne Lorenc, LCSW
• Catherine Blakeslee Lorentz, APRN, MSN, FNP-BC
• Lorenz Ophthalmology Center Limited
• Lorenz Ophthalmology Center Limited
• Andrea Renee Lorenz
• Brooke Lorenz, RD, LD

• Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.