Individual provider Active NPI

Darlington Ugbodu, MSW/CSW-I

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1306298229
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-2070 Issued in NV
Practice address
552 E Charleston Blvd
Las Vegas, NV 89104-1319
Phone
(702) 440-8440
NPI assigned
Jul 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Clinical Social Worker 1041C0700X IC-2070 NV Primary

Addresses

Primary practice location

552 E Charleston Blvd
Las Vegas, NV 89104-1319

Mailing address

840 S Rancho Dr Ste 4-337
Las Vegas, NV 89106-3837
Phone (702) 440-8440

Other practice location 1

6774 Nickel Mine Ave
Las Vegas, NV 89122-8399
Phone (702) 747-1595

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
I20250418002106 NV Practitioner - Clinical Social Worker 4385169671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theravada Mental Health LLCGroup PAC ID 6608122882, 15 clinicians

Practice addresses (Care Compare)

1607 E Windmill LN
Suite 300
Las Vegas, NV 89123-1910
Phone (702) 757-8720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IC-2070NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Theravada Mental Health LLC Clinical CurrentSince Mar 1, 2025 Accepting new patients
Lisa a Durette MD PLLC Clinical PastSince Feb 4, 2024 Accepting new patients
Lisa a Durette MD PLLC Clinical PastSince Feb 4, 2024 Accepting new patients

Locations

2445 Fire Mesa St
Ste 270
Las Vegas, NV 89128
Phone (702) 212-3008

2701 N Tenaya Way
Ste 200
Las Vegas, NV 89128
Phone (702) 757-8720

1607 E Windmill Ln
Ste 300
Las Vegas, NV 89123
Phone (702) 757-8720

Organizations & group practices 3

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": "1467417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1306298229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR STE 4-337",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-440-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041319",
            "telephone_number": "702-440-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6774 Nickel Mine Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891228399",
            "country_code": "US",
            "telephone_number": "702-747-1595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGBODU",
        "first_name": "DARLINGTON",
        "credential": "MSW/CSW-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-02",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-2070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.