Individual provider Active NPI

Alyssa Lasoff, LCSW

  • Clinical Social Worker
  • Boulder City, NV
National Provider Identifier
1225425184
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-843 Issued in NV
Practice address
1302 Georgia Ave Apt C
Boulder City, NV 89005-3504
Phone
(702) 540-6791
NPI assigned
Apr 17, 2015
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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 IC-843 NV Primary

Addresses

Primary practice location

1302 Georgia Ave Apt C
Boulder City, NV 89005-3504

Mailing address

1302 Georgia Ave Apt C
Boulder City, NV 89005-3504
Phone (702) 540-6791

Other practice location 1

1650 Community College Dr
Las Vegas, NV 89146-1144
Phone (702) 486-4400

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
IC-843NVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1225425184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 GEORGIA AVE APT C",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890053504",
            "telephone_number": "702-540-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 GEORGIA AVE APT C",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890053504",
            "telephone_number": "702-540-6791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Community College Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891461144",
            "country_code": "US",
            "telephone_number": "702-486-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASOFF",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.