Individual provider Active NPI

Beatriz A. Rodriguez, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1366640419
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6747-C Issued in NV
Practice address
7040 Laredo St Ste K
Las Vegas, NV 89117-3044
Phone
(707) 331-4874
Fax
(707) 446-8034
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ACSW 24891 CA
Clinical Social Worker 1041C0700X LCSW 59605 CA
Clinical Social Worker 1041C0700X 6747-C NV Primary

Addresses

Primary practice location

7040 Laredo St Ste K
Las Vegas, NV 89117-3044

Mailing address

7040 Laredo St Ste K
Las Vegas, NV 89117-3044
Phone (707) 331-4874

Other practice location 1

7040 Laredo St Ste K
Las Vegas, NV 89117-3044
Phone (707) 331-4874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140604000690 CA Practitioner - Clinical Social Worker 4880817279 Reassigns benefits to 1 organization
I20150323000736 NV Practitioner - Clinical Social Worker 4880817279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elements of Motivation LLCGroup PAC ID 5294150744, 7 clinicians

Practice addresses (Care Compare)

720 S Jones Blvd
Las Vegas, NV 89107-3614
Phone (702) 331-4874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACSW 24891CAMDMental Health Counselor
LCSW 59605CAMDClinical Social Worker
59605CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elements of Motivation LLC CurrentSince Sep 18, 2020 Accepting new patients
Southern Nevada Adult Mental Health CurrentSince Feb 1, 2015 Accepting new patients
State of Nevada Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Mar 8, 2014 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Mar 8, 2014 Accepting new patients
Los Angeles County Department of Mental Health Current Accepting new patients
State of Nevada CurrentSince Feb 1, 2015 Accepting new patients
Claudia Barraza PastSince Sep 18, 2020 Accepting new patients

Locations

1224 Vine St
Los Angeles, CA 90038
Phone (323) 769-6100

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

5321 Via Marisol
Los Angeles, CA 90042
Phone (323) 474-6393

4150 Technology Way
Ste 100
Carson City, NV 89706

7040 Laredo St
Ste K
Las Vegas, NV 89117
Phone (702) 331-4874

720 S Jones Blvd
Las Vegas, NV 89107
Phone (702) 331-4874

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

Organizations & group practices 8

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1366640419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 LAREDO ST STE K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173044",
            "telephone_number": "707-331-4874",
            "fax_number": "702-446-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 LAREDO ST STE K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173044",
            "telephone_number": "707-331-4874",
            "fax_number": "707-446-8034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7040 Laredo St Ste K",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891173044",
            "country_code": "US",
            "telephone_number": "707-331-4874",
            "fax_number": "707-446-8034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "BEATRIZ",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ACSW 24891",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 59605",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6747-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.