Jasmine Adan

Individual provider Active NPI Clinical Social Worker · Las Vegas, NV

NPI 1124986104 · NPPES record last updated Jan 9, 2026

Key facts

NPI
1124986104
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
IC-2609 (NV)
Practice address
6375 W Charleston Blvd Ste 100
Las Vegas, NV 89146-1139
Phone
(702) 253-0818
NPI assigned
Jan 9, 2026
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
IC-2609NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Family Practice Residency Program, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IC-2609 NV Yes

Addresses

Primary practice location

6375 W Charleston Blvd Ste 100
Las Vegas, NV 89146-1139

Mailing address

333 Challas St
Las Vegas, NV 89110-3310

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Clinical Social Worker in Nevada

Sources for this page

Verify at the official NPI Registry.