Individual provider Active NPI

Sally Holzer

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1194029009
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12125-C Issued in NV
Practice address
3430 E Flamingo Rd Ste 324
Las Vegas, NV 89121-5067
Phone
(702) 389-7937
NPI assigned
Jan 6, 2011
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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 12125-C NV Primary

Addresses

Primary practice location

3430 E Flamingo Rd Ste 324
Las Vegas, NV 89121-5067

Mailing address

6130 Hawkins Way
Pahrump, NV 89061-7945
Phone (775) 513-8923

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
I20250721002644 NV Practitioner - Clinical Social Worker 8325554983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Mental HealthGroup PAC ID 3072813245, 9 clinicians

Practice addresses (Care Compare)

6048 S Durango Dr
Suite 115
Las Vegas, NV 89113-1781
Phone (702) 815-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Counseling LLC CurrentSince May 2, 2025 Accepting new patients
Serenity Mental Health CurrentSince Dec 8, 2025 Accepting new patients

Locations

755 N Roop St
Ste 101
Carson City, NV 89701
Phone (775) 841-6050

6048 S Durango Dr
Ste 115
Las Vegas, NV 89113
Phone (702) 489-8165

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": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1194029009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 HAWKINS WAY",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890617945",
            "telephone_number": "775-513-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 324",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215067",
            "telephone_number": "702-389-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZER",
        "first_name": "SALLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12125-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.