Individual provider Active NPI

Lisa Rae Korslin, MSW & LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1265606123
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9199-C Issued in NV
Practice address
5509 Ghost Rider CT
Las Vegas, NV 89131-2064
Phone
(920) 242-8586
NPI assigned
Apr 22, 2008
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 15337 WI
Clinical Social Worker 1041C0700X 1303123 WI
Clinical Social Worker 1041C0700X 9199-C NV Primary

Addresses

Primary practice location

5509 Ghost Rider CT
Las Vegas, NV 89131-2064

Mailing address

5509 Ghost Rider CT
Las Vegas, NV 89131-2064
Phone (920) 242-8586

Other practice location 1

926 South 8th Street
Manitowoc, WI 54221-1177
Phone (920) 683-4230

Other identifiers 1

IdentifierTypeStateIssuer
9199-CMedicaidNV

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
I20240708004078 NV Practitioner - Clinical Social Worker 8820377252 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15337WIMDCounselor
9199-CNVMDClinical Social Worker
1303123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling LLC CurrentSince May 31, 2024 Accepting new patients

Locations

2360 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 518-7629

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, 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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1265606123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 GHOST RIDER CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312064",
            "telephone_number": "920-242-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 GHOST RIDER CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312064",
            "telephone_number": "920-242-8586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 South 8th Street",
            "address_purpose": "LOCATION",
            "city": "Manitowoc",
            "state": "WI",
            "postal_code": "542211177",
            "country_code": "US",
            "telephone_number": "920-683-4230",
            "fax_number": "920-683-4908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORSLIN",
        "first_name": "LISA",
        "middle_name": "RAE",
        "credential": "MSW & LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "15337",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1303123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9199-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9199-C",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.