Alexis Ann Enterline, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10150-C Issued in NV

Practice address

7236 Boyd LN
Las Vegas, NV 89131-2502

Phone

(702) 234-2926

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Half Moon Mental Health and Wellness

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1073294062
  NPD Authorized official

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1295933240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7236 BOYD LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312502",
            "telephone_number": "702-234-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7236 BOYD LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312502",
            "telephone_number": "702-234-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTERLINE",
        "first_name": "ALEXIS",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10150-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rune Ensinger
• Caridad Regla Ensinosa
• Davon Ensley
• Jeanne Ensley
• ENT Surgicenter, LLC
• Louie Anton Ang Entienza, RPT
• Blessing Nnenna Enudu, MD
• Envision Behavioral Health LLC
• Annette Yunsung Eom, D.O.
• Anna Eomurian

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.