Individual provider Active NPI

Stephanie Partida, LCSW, LCADC

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1184182875
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9192-C Issued in NV
Practice address
7868 Wild Thistle CT
Las Vegas, NV 89149-1632
Phone
(760) 937-0118
NPI assigned
Mar 12, 2019
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 07114-LC NV
Social Worker 104100000X
Clinical Social Worker 1041C0700X 9192-C NV Primary

Addresses

Primary practice location

7868 Wild Thistle CT
Las Vegas, NV 89149-1632

Mailing address

7868 Wild Thistle CT
Las Vegas, NV 89149-1632
Phone (760) 937-0118

Other practice location 1

5572 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-3605
Phone (702) 296-1222

Other identifiers 1

IdentifierTypeStateIssuer
1184182875MedicaidNV

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
I20230810001434 NV Practitioner - Clinical Social Worker 9032571815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6955 N Durango Dr
Unit 1004
Las Vegas, NV 89149-4412
Phone (760) 937-0118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07114-LCNVMDAddiction (Substance Use Disorder) Counselor
9192-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Encounters Counseling and Recovery Clinical CurrentSince Jun 7, 2023 Accepting new patients
Thrive Solutions LLC Addiction (Substance Use Disorder) PastSince Feb 1, 2021 Accepting new patients

Locations

2810 W Charleston Blvd
Ste H80
Las Vegas, NV 89102

2820 W Charleston Blvd
Ste B21
Las Vegas, NV 89102
Phone (702) 413-6011

2820 W Charleston Blvd
Ste D41
Las Vegas, NV 89102
Phone (702) 742-1500

6955 N Durango Dr
Unit 1004
Las Vegas, NV 89149
Phone (702) 530-2612

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1184182875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7868 WILD THISTLE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891491632",
            "telephone_number": "760-937-0118",
            "fax_number": "702-272-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7868 WILD THISTLE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891491632",
            "telephone_number": "760-937-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5572 S Fort Apache Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891483605",
            "country_code": "US",
            "telephone_number": "702-296-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARTIDA",
        "first_name": "STEPHANIE",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "07114-LC",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9192-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184182875",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.