Luke Hatch, LCSW, C.AD
Individual provider Active NPI Clinical Social Worker · Hiko, NV
NPI 1174075550 · NPPES record last updated Nov 1, 2016
Key facts
- NPI
- 1174075550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5921-C (NV)
- Practice address
- 1760 State Route 318
Hiko, NV 89017-2215 - Phone
- (775) 725-3900
- NPI assigned
- Nov 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210203001334 | NV | Practitioner - Clinical Social Worker | 6103230107 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6047570-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Admired Behavioral Solution LLC | Current |
Accepting new patients | |
| Desert Treatment Clinic LLC | Current |
Accepting new patients | |
| Desert Treatment Clinic LLC | Current |
Accepting new patients | |
| Healthpro Clinic | Past |
Accepting new patients | |
| KW Legacy Ranch, LLC | Past | Accepting new patients |
Locations
2598 Windmill Pkwy
Ste 100
Henderson, NV 89074
Phone (702) 248-0000
2330 Paseo del Prado
Ste C112
Las Vegas, NV 89102
Phone (702) 234-0667
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5921-C | NV | Yes |
| Clinical Social Worker | 1041C0700X | 6047570-3501 | UT |
Addresses
Primary practice location
1760 State Route 318
Hiko, NV 89017-2215
Mailing address
1760 State Route 318
Hiko, NV 89017-2215
Phone (775) 725-3900
Other providers in Hiko, NV
All providers in Hiko, NV · Clinical Social Worker in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.