Individual provider Active NPI

Cyndi Evette Carpluk, LMSW, LCSW

  • Clinical Social Worker
  • Boulder City, NV
National Provider Identifier
1366004707
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9717-C Issued in NV
Practice address
916 Nevada Way Ste 5
Boulder City, NV 89005-2300
Phone
(702) 930-4126
Fax
(702) 441-7021
NPI assigned
Jul 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9717-C NV Primary
Social Worker 104100000X 8431-M NV

Addresses

Primary practice location

916 Nevada Way Ste 5
Boulder City, NV 89005-2300

Mailing address

916 Nevada Way Ste 5
Boulder City, NV 89005-2300
Phone (702) 930-4126

Other practice location 1

607 Avenue B
Boulder City, NV 89005-2733
Phone (702) 930-4126

Other identifiers 1

IdentifierTypeStateIssuer
250003704MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TherapyNotes Direct

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
I20230216002335 NV Practitioner - Clinical Social Worker 9032581475 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of California, San Diego School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Boulder City, NV 89005
Phone (702) 930-1462

916 Nevada Way
Suite 5
Boulder City, NV 89005-2300
Phone (702) 805-5635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Psychiatry Arizona PLLC CurrentSince Feb 2, 2023 Accepting new patients
A Mindful Change Behavioral Health Clinical Current Accepting new patients
A Mindful Change Behavioral Health Clinical CurrentSince Jan 13, 2023 Accepting new patients
Behavioral Health Solutions LLC Addiction (Substance Use Disorder) CurrentSince Feb 2, 2023 Accepting new patients

Locations

916 Nevada Way
Ste 5
Boulder City, NV 89005
Phone (702) 930-4126

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

Organizations & group practices 4

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": "1562371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1366004707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 NEVADA WAY STE 5",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052300",
            "telephone_number": "702-930-4126",
            "fax_number": "702-441-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 NEVADA WAY STE 5",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052300",
            "telephone_number": "702-930-4126",
            "fax_number": "702-441-7021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Avenue B",
            "address_purpose": "LOCATION",
            "city": "Boulder City",
            "state": "NV",
            "postal_code": "890052733",
            "country_code": "US",
            "telephone_number": "702-930-4126",
            "fax_number": "702-441-7021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPLUK",
        "first_name": "CYNDI",
        "middle_name": "EVETTE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-06",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9717-C",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "8431-M",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250003704",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "Electronic Record Maintenance",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "916 Nevada Way Ste 5",
            "city": "Boulder City",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890052300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boulder City, NV

Sources for this page

Verify at the official NPI Registry.