Jacob Purcell, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10679-M Issued in NV

Practice address

8950 W Tropicana Ave Ste 1
Las Vegas, NV 89147-8138

Phone

(702) 240-8639

NPI assigned

Jun 6, 2023

Sex

Male

Sole proprietor

No

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

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennifer C Moore MSW LCSW IncGroup PAC ID 8628137304, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jennifer C Moore MSW LCSW Inc

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1225280969
  Medicare reassignment Care Compare group NPD
• Jennifer C Moore MSW LCSW Inc

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1013615079
  NPD (past)

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1336833946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 SIERRA PATRICIA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W TROPICANA AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478138",
            "telephone_number": "702-240-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "JACOB",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10679-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Vanessa Pupo
• Maria Pupo
• Alhyza Jayne Pura
• Lydia Pura
• Sebrina Purcell-White
• Taylor Morgan Purcell
• Denise D. Purdie-Goodwin
• Tamiko Lachum Purdie
• Robert Lee Purdue III
• Alicia Laurie Purdum, BOCO, BOCP

• 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 Jun 6, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.