Active NPI
Olivia Centuori, LCSW
- Clinical Social Worker
- Henderson, NV
National Provider Identifier
1255583233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5549-C
- Practice address
- 2333 French Alps Ave
Henderson, NV 89044-0305 - Phone
- (702) 557-9116
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5549-C | NV | Primary |
Addresses
Primary practice location
2333 French Alps Ave
Henderson, NV 89044-0305
Mailing address
2333 French Alps Ave
Henderson, NV 89044-0305
Phone (702) 557-9116
Other practice location 1
5300 W Sahara Ave
Suite #104
Las Vegas, NV 89146-3325
Phone (702) 248-6290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100519062 | Medicaid | NV |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5549-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Counseling, Inc. | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1578789020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1255583233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 FRENCH ALPS AVE",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890440305",
"telephone_number": "702-557-9116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 FRENCH ALPS AVE",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890440305",
"telephone_number": "702-557-9116"
}
],
"practiceLocations": [
{
"address_1": "5300 W Sahara Ave",
"address_2": "Suite #104",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891463325",
"country_code": "US",
"telephone_number": "702-248-6290",
"fax_number": "702-248-4720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CENTUORI",
"first_name": "OLIVIA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "5549-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100519062",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.