Individual provider Active NPI

Lileana Roque, MSW

  • Social Worker
  • Las Vegas, NV
National Provider Identifier
1174933626
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2117 Whitebirch LN
Las Vegas, NV 89134-6095
Phone
(702) 480-2811
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2117 Whitebirch LN
Las Vegas, NV 89134-6095

Mailing address

2117 Whitebirch LN
Las Vegas, NV 89134-6095
Phone (702) 480-2811

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
I20241029003079 NV Practitioner - Clinical Social Worker 7810420882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LBR Mental Health PLLCGroup PAC ID 4284167032, 2 clinicians

Practice addresses (Care Compare)

2620 Regatta Dr
Suite 102
Las Vegas, NV 89128-6892
Phone (725) 222-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
LBR Mental Health PLLC CurrentSince Sep 10, 2024 Accepting new patients

Locations

2620 Regatta Dr
Ste 102
Las Vegas, NV 89128
Phone (702) 751-2408

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.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1174933626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 WHITEBIRCH LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346095",
            "telephone_number": "702-480-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 WHITEBIRCH LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346095",
            "telephone_number": "702-480-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "LILEANA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2023-10-27",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.