Individual provider Active NPI

Alexandria Nelson

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1306604384
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
911 N Buffalo Dr Unit 213
Las Vegas, NV 89128-0381
Phone
(775) 843-9103
NPI assigned
Mar 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 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 Primary

Addresses

Primary practice location

911 N Buffalo Dr Unit 213
Las Vegas, NV 89128-0381

Mailing address

279 Cullerton St
Las Vegas, NV 89148-5155
Phone (775) 843-9103

Other practice location 1

279 Cullerton St
Las Vegas, NV 89148-5155
Phone (775) 843-9103

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
I20241014002312 NV Practitioner - Clinical Social Worker 5193257343 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Minds Psychiatry LLC CurrentSince Jun 25, 2024 Accepting new patients
Changing Minds Psychiatry LLC PastSince Jun 25, 2024 Accepting new patients

Locations

2960 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 677-1104

911 N Buffalo Dr
Unit 206
Las Vegas, NV 89128
Phone (702) 704-8685

911 N Buffalo Dr
Unit 213
Las Vegas, NV 89128
Phone 7029421774 ext. 106

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": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1306604384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 CULLERTON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485155",
            "telephone_number": "775-843-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N BUFFALO DR UNIT 213",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280381",
            "telephone_number": "775-843-9103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "279 Cullerton St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485155",
            "country_code": "US",
            "telephone_number": "775-843-9103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.