Individual provider Active NPI

Kyrsten Sprewell

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1265112387
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10897-C Issued in NV
Practice address
2320 Paseo del Prado Ste B208
Las Vegas, NV 89102-4332
Phone
(702) 685-0877
Fax
(702) 749-5922
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CSW008145 GA
Clinical Social Worker 1041C0700X 10897-C NV Primary

Addresses

Primary practice location

2320 Paseo del Prado Ste B208
Las Vegas, NV 89102-4332

Mailing address

995 Fleetwood Cir SW
Atlanta, GA 30311-2500
Phone (678) 457-4927

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
I20240502002701 NV Practitioner - Clinical Social Worker 8325488646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW008145GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Generational Wellness Center LLC CurrentSince Jul 31, 2023 Accepting new patients
Insight Therapy Solutions LLC Mental Health CurrentSince Apr 17, 2024 Accepting new patients
Spreeisms Clinical CurrentSince Jul 1, 2023 Accepting new patients
Insight Medical Clinicians PA Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

2510 E Sunset Rd
Ste 5823
Las Vegas, NV 89120

4760 S Pecos Rd
Ste 103
Las Vegas, NV 89121
Phone (702) 369-9706

2320 Paseo del Prado
Ste B208
Las Vegas, NV 89102

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1265112387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 FLEETWOOD CIR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303112500",
            "telephone_number": "678-457-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 PASEO DEL PRADO STE B208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024332",
            "telephone_number": "702-685-0877",
            "fax_number": "702-749-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPREWELL",
        "first_name": "KYRSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW008145",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10897-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.