Individual provider Active NPI

Wendy Moore, LCSW

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1255708376
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7925-C Issued in NV
Practice address
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone
(702) 791-9000
NPI assigned
Aug 24, 2015
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Clinical Social Worker 1041C0700X 7152-S NV
Clinical Social Worker 1041C0700X 7925-C NV Primary

Addresses

Primary practice location

6900 N Pecos Rd
North Las Vegas, NV 89086-4400

Mailing address

5525 Crimson Ridge Dr
Las Vegas, NV 89130-5133
Phone (703) 728-2615

Other practice location 1

6600 W Charleston Blvd Ste 140
Las Vegas, NV 89146-1067
Phone (702) 437-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180820003197 NV Practitioner - Clinical Social Worker 7911256219 Reassigns benefits to 2 organizations
I20240103003133 UT Practitioner - Clinical Social Worker 7911256219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Health Solutions LLCGroup PAC ID 4385998954, 60 clinicians
Deborah a Christensen PHD and Associates, IncGroup PAC ID 6901891498, 27 clinicians

Practice addresses (Care Compare)

2200 Paseo Verde Pkwy
Suite 190
Henderson, NV 89052-2703
Phone (702) 589-4871

248 E 13800
Suite 4
Draper, UT 84020-5011
Phone (702) 483-5044

Merit-based Incentive Payment System (MIPS)

Final score
89.69 of 100Reported as group
Quality
89.02
Promoting interoperability
85
Improvement activities
40
Cost
55.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7152-SNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
H.O.P.E. Counseling Services LLC Clinical CurrentSince Jul 3, 2018 Accepting new patients
Behavioral Health Solutions LLC Clinical CurrentSince Nov 1, 2020 Accepting new patients
Deborah a Christensen PHD & Associates, Inc CurrentSince Dec 1, 2023 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Nov 1, 2020 Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5044

2831 Saint Rose Pkwy
Ste 221
Henderson, NV 89052
Phone (702) 279-2230

601 S Rancho Dr
Ste A10
Las Vegas, NV 89106
Phone (702) 445-5653

6600 W Charleston Blvd
Ste 140
Las Vegas, NV 89146
Phone (702) 440-8440

248 E 13800 S
Ste 4
Draper, UT 84020
Phone (702) 483-5044

Interoperability endpoints

  • Direct secure messaging: wendy.moore.1@24259.direct.athenahealth.com

Organizations & group practices 4

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1255708376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 CRIMSON RIDGE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305133",
            "telephone_number": "703-728-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 W Charleston Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891461067",
            "country_code": "US",
            "telephone_number": "702-437-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WENDY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7152-S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7925-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.