Individual provider Active NPI

Simone Cherell Phillips, MSW, LCSW

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1265805931
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10969-C Issued in NV
Practice address
4650 Ranch House Rd Unit 134
North Las Vegas, NV 89031-4605
Phone
(702) 701-1729
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10969-C NV Primary

Addresses

Primary practice location

4650 Ranch House Rd Unit 134
North Las Vegas, NV 89031-4605

Mailing address

P.O. Box 750704
Las Vegas, NV 89136
Phone (702) 701-1729

Other practice location 1

4220 S Maryland Pkwy Bldg A2
Las Vegas, NV 89119-7533
Phone (415) 424-4266

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

LicenseStateTypeSpecialty
10969-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Christian Health Center Corp Past Accepting new patients
Hope Christian Health Center Corp Past Accepting new patients

Organizations & group practices 2

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1265805931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 750704",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89136",
            "telephone_number": "702-701-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 RANCH HOUSE RD UNIT 134",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314605",
            "telephone_number": "702-701-1729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 S Maryland Pkwy Bldg A2",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891197533",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SIMONE",
        "middle_name": "CHERELL",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10969-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.