Individual provider Active NPI

Alexandra Nicole Givens, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1245689116
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10151-C Issued in NV
Practice address
2780 S Jones Blvd Ste 115
Las Vegas, NV 89146-5625
Phone
(702) 935-0025
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8835-S NV
Behavior Technician 106S00000X
Clinical Social Worker 1041C0700X 10151-C NV Primary

Addresses

Primary practice location

2780 S Jones Blvd Ste 115
Las Vegas, NV 89146-5625

Mailing address

2418 Cypress Island CT
North Las Vegas, NV 89031-0942
Phone (702) 715-1698

Other practice location 1

1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367
Phone (702) 670-2725

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
I20231026001201 NV Practitioner - Clinical Social Worker 6103272232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Life Coaching LLCGroup PAC ID 4981969771, 8 clinicians

Practice addresses (Care Compare)

2780 S Jones Blvd
Suite 115D
Las Vegas, NV 89146-5625
Phone (702) 935-0025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8835-SNVMDSocial Worker
10151-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True Life Coaching LLC CurrentSince Oct 20, 2023 Accepting new patients

Locations

2920 N Green Valley Pkwy
Ste 312
Henderson, NV 89014
Phone (702) 253-1173

2780 S Jones Blvd
Ste 115D
Las Vegas, NV 89146
Phone (702) 935-0025

2550 Nature Park Dr
Ste 210
North Las Vegas, NV 89084
Phone (702) 935-0025

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1245689116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 CYPRESS ISLAND CT",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310942",
            "telephone_number": "702-715-1698",
            "fax_number": "702-248-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465625",
            "telephone_number": "702-935-0025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1489 W Warm Springs Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890147367",
            "country_code": "US",
            "telephone_number": "702-670-2725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "8835-S",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10151-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.