Individual provider Active NPI

Jessica L Burton, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1184107906
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8999-C Issued in NV
Practice address
1607 E Windmill LN Ste 300
Las Vegas, NV 89123-1910
Phone
(702) 757-8720
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 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 8999-C NV Primary

Addresses

Primary practice location

1607 E Windmill LN Ste 300
Las Vegas, NV 89123-1910

Mailing address

1607 E Windmill LN Ste 300
Las Vegas, NV 89123-1910
Phone (702) 757-8720

Other practice location 1

25 Red Oak Canyon St Unit 1
Henderson, NV 89012-5973
Phone (702) 533-3677

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
I20201022002543 NV Practitioner - Clinical Social Worker 5496175903 Reassigns benefits to 2 organizations
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Nevada, Las Vegas School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8565 S Eastern Ave
Suite 120
Las Vegas, NV 89123-2810
Phone (702) 637-4498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8999-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
PHC of Nevada Inc Clinical CurrentSince Jul 15, 2020 Accepting new patients
Theravada Mental Health LLC Clinical CurrentSince Dec 7, 2020 Accepting new patients

Locations

1701 W Charleston Blvd
Ste 300
Las Vegas, NV 89102
Phone (702) 251-8000

1607 E Windmill Ln
Ste 300
Las Vegas, NV 89123
Phone (702) 757-8720

Organizations & group practices 2

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1184107906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 E WINDMILL LN STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231910",
            "telephone_number": "702-757-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E WINDMILL LN STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231910",
            "telephone_number": "702-757-8720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Red Oak Canyon St Unit 1",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890125973",
            "country_code": "US",
            "telephone_number": "702-533-3677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8999-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.