Active NPI
Karen Sue Sifuentes
- Clinical Social Worker
- North Las Vegas, NV
National Provider Identifier
1205117272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2412 Elmont Ave
North Las Vegas, NV 89086-1556 - Phone
- (916) 485-6500
- NPI assigned
- Sep 6, 2011
- Last updated
- Jun 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 34543 | CA | |
| Clinical Social Worker | 1041C0700X | 76306 | CA | |
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
2412 Elmont Ave
North Las Vegas, NV 89086-1556
Mailing address
2412 Elmont Ave
North Las Vegas, NV 89086-1556
Phone (916) 904-0062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275756322 | Medicaid | CA |
Other names 1
- Ms. Karen Sue Merson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180419001882 | CA | Practitioner - Clinical Social Worker | 9133482425 | Practice locations: Roseville, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Meyer | Social Worker | Past | Accepting new patients |
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, 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": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1205117272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 ELMONT AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861556",
"telephone_number": "916-904-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 ELMONT AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861556",
"telephone_number": "916-485-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIFUENTES",
"first_name": "KAREN",
"middle_name": "SUE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "34543",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "76306",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275756322",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "MERSON",
"middle_name": "SUE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.