Active NPI
Gold Clinical Services LLC
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1194253369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6823C
- Legal business name
- GOLD CLINICAL SERVICES LLC
- Practice address
- 3885 S Decatur Blvd Ste 2010
Las Vegas, NV 89103-5873 - Phone
- (702) 875-6618
- Fax
- (702) 566-4575
- NPI assigned
- May 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurey Ray, CMBS
- Title
- Billing Manager
- Phone
- (702) 268-5067
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6823C | NV | Primary |
Addresses
Primary practice location
3885 S Decatur Blvd Ste 2010
Las Vegas, NV 89103-5873
Mailing address
3885 S Decatur Blvd Ste 3010
Las Vegas, NV 89103-6814
Phone (702) 875-6618
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1194253369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3885 S DECATUR BLVD STE 3010",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891036814",
"telephone_number": "702-875-6618",
"fax_number": "702-566-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3885 S DECATUR BLVD STE 2010",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891035873",
"telephone_number": "702-875-6618",
"fax_number": "702-566-4575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD CLINICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-31",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "RAY",
"authorized_official_first_name": "LAUREY",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "702-268-5067",
"authorized_official_credential": "CMBS"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "6823C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.