Individual provider Active NPI

Claudia Segui Jimenez, LCSW

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1376267989
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12621-C Issued in NV
Practice address
3890 W Ann Rd
North Las Vegas, NV 89031-4416
Phone
(702) 287-8895
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 12621-C NV Primary

Addresses

Primary practice location

3890 W Ann Rd
North Las Vegas, NV 89031-4416

Mailing address

3890 W Ann Rd
North Las Vegas, NV 89031-4416
Phone (702) 362-7455

Other practice location 1

5280 S Eastern Ave Ste A6
Las Vegas, NV 89119-2397
Phone (702) 365-7455

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
I20260528000844 NV Practitioner - Clinical Social Worker 4880164177 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Tuscany
Ladera Ranch, CA 92694-1457

5280 S Eastern Ave
A6
Las Vegas, NV 89119-2397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12621-CNVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1376267989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 W ANN RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314416",
            "telephone_number": "702-362-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 W ANN RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314416",
            "telephone_number": "702-287-8895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5280 S Eastern Ave Ste A6",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891192397",
            "country_code": "US",
            "telephone_number": "702-365-7455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGUI JIMENEZ",
        "first_name": "CLAUDIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12621-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.