Individual provider Active NPI

Benita L Betterson-Davis, LMSW

  • Social Worker
  • Las Vegas, NV
National Provider Identifier
1326910233
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6368-M Issued in NV
Practice address
4530 S Decatur Blvd Ste 201a
Las Vegas, NV 89103-5239
Phone
(702) 858-7443
NPI assigned
Sep 19, 2025
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6368-M NV Primary

Addresses

Primary practice location

4530 S Decatur Blvd Ste 201a
Las Vegas, NV 89103-5239

Mailing address

4530 S Decatur Blvd Ste 201a
Las Vegas, NV 89103-5239
Phone (702) 858-7443

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
6368-MNVMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1326910233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 S DECATUR BLVD STE 201A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035239",
            "telephone_number": "702-858-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 S DECATUR BLVD STE 201A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035239",
            "telephone_number": "702-858-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTERSON-DAVIS",
        "first_name": "BENITA",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "6368-M",
            "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 Jan 29, 2026; 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.