Individual provider Active NPI

Raymond F O'Brien, LCSW

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1144472770
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5824-C Issued in NV
Practice address
2580 N Rancho Dr
Suite 104a
North Las Vegas, NV 89032
Phone
(702) 825-0729
NPI assigned
Oct 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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 5824-C NV Primary

Addresses

Primary practice location

2580 N Rancho Dr
Suite 104a
North Las Vegas, NV 89032

Mailing address

2580 N Rancho Dr
Suite 104a
North Las Vegas, NV 89032
Phone (702) 825-0729

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
I20200402001112 NV Practitioner - Clinical Social Worker 6002245693 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mind Power Behavioral Services LLCGroup PAC ID 5890046916, 4 clinicians

Practice addresses (Care Compare)

4570 S Eastern Ave
Suite 28
Las Vegas, NV 89119-6183
Phone (702) 476-3345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Power Medical Center LLC CurrentSince Apr 15, 2023 Accepting new patients
Mind Power Behavioral Services LLC CurrentSince Apr 15, 2023 Accepting new patients
Wholistic Recovery LLC CurrentSince Nov 6, 2024 Accepting new patients
Brain Power Medical Center LLC CurrentSince Apr 15, 2023 Accepting new patients
Specialized Alternatives for Families and Youth of Nevada, Inc. PastSince Feb 21, 2021 Accepting new patients
Forward Impressions, LLC PastSince Feb 23, 2020 Accepting new patients
Specialized Alternatives for Families and Youth of Nevada, Inc. PastSince Jan 2, 2016 Accepting new patients

Locations

4530 S Eastern Ave
Ste 4
Las Vegas, NV 89119
Phone (702) 476-3345

2580 N Rancho Dr
Ste 105A
Las Vegas, NV 89130
Phone (702) 272-1588

4570 S Eastern Ave
Ste 28
Las Vegas, NV 89119
Phone (702) 361-8800

Organizations & group practices 7

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": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1144472770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 N RANCHO DR",
            "address_2": "SUITE 104A",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-825-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 N RANCHO DR",
            "address_2": "SUITE 104A",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-825-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "RAYMOND",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2022-11-07",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5824-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.