Individual provider Active NPI

Alexis Lilly Terjesen, LMSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1205296415
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
8685 S Eastern Ave
Las Vegas, NV 89123
Phone
(702) 754-0807
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X NV Primary

Addresses

Primary practice location

8685 S Eastern Ave
Las Vegas, NV 89123

Mailing address

6105 Galileo Dr
Las Vegas, NV 89149-1386
Phone (702) 358-3304

Other practice location 1

5915 S Rainbow Blvd Ste 105
Las Vegas, NV 89118
Phone (702) 358-3304

Other practice location 2

6600 W Charleston Blvd
Las Vegas, NV 89146-9001
Phone (702) 437-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1205296415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 GALILEO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891491386",
            "telephone_number": "702-358-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89123",
            "telephone_number": "702-754-0807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5915 S Rainbow Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89118",
            "country_code": "US",
            "telephone_number": "702-358-3304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891469001",
            "country_code": "US",
            "telephone_number": "702-437-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERJESEN",
        "first_name": "ALEXIS",
        "middle_name": "LILLY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": null,
            "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 Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.