Active NPI
Stefanie Doolin
- Clinical Social Worker
- N Las Vegas, NV
National Provider Identifier
1154712503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09924320
- Practice address
- 6900 N Pecos Rd
N Las Vegas, NV 89086-4400 - Phone
- (702) 791-9000
- Fax
- (702) 224-6972
- NPI assigned
- Feb 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C009339 | NC | |
| Clinical Social Worker | 1041C0700X | CSW.09924320 | CO | Primary |
Addresses
Primary practice location
6900 N Pecos Rd
N Las Vegas, NV 89086-4400
Mailing address
6900 N Pecos Rd
N Las Vegas, NV 89086-4400
Phone (702) 791-9000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09924320 | CO | MD | Clinical Social Worker |
| C009339 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1154712503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 N PECOS RD",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890864400",
"telephone_number": "702-791-9000",
"fax_number": "702-224-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 N PECOS RD",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890864400",
"telephone_number": "702-791-9000",
"fax_number": "702-224-6972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLIN",
"first_name": "STEFANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009339",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09924320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N 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 25, 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.