Individual provider Active NPI

Jessica Lyn Elbe, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1265922231
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7777-C Issued in NV
Practice address
9402 W Lake Mead Blvd
Las Vegas, NV 89134-8312
Phone
(702) 900-4238
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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 7777-C NV Primary

Addresses

Primary practice location

9402 W Lake Mead Blvd
Las Vegas, NV 89134-8312

Mailing address

1535 Pacific Baza St
Las Vegas, NV 89138-6473
Phone (847) 337-7223

Other practice location 1

2860 S Bronco St
Las Vegas, NV 89146-5208
Phone (702) 333-2440

Other practice location 2

2001 S Jones Blvd Ste J
Las Vegas, NV 89146-3165
Phone (702) 333-2440

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1265922231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 PACIFIC BAZA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386473",
            "telephone_number": "847-337-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9402 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348312",
            "telephone_number": "702-900-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2860 S Bronco St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465208",
            "country_code": "US",
            "telephone_number": "702-333-2440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 S Jones Blvd Ste J",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891463165",
            "country_code": "US",
            "telephone_number": "702-333-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELBE",
        "first_name": "JESSICA",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7777-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.