Individual provider Active NPI

KC West

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1376945758
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6894-C Issued in NV
Practice address
3161 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3144
Phone
(702) 467-7256
Fax
(844) 965-9650
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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 6894-C NV Primary

Addresses

Primary practice location

3161 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3144

Mailing address

3161 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3144
Phone (435) 749-0093

Other practice location 1

1031 S Bluff St
St George, UT 84770-5206
Phone (702) 467-7256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 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
I20200325003405 NV Practitioner - Clinical Social Worker 0345678330
I20201110002736 UT Practitioner - Clinical Social Worker 0345678330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6894-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey Karr Therapy, LLC Clinical CurrentSince Dec 12, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
KC West LCSW Clinical Counseling Services CurrentSince Feb 18, 2020 Accepting new patients

Locations

3161 E Warm Springs Rd
Ste 300
Las Vegas, NV 89120
Phone (702) 305-5490

1031 S Bluff St
St George, UT 84770
Phone (435) 219-9910

Interoperability endpoints

  • Direct secure messaging: kcwest@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1376945758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 E WARM SPRINGS RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203144",
            "telephone_number": "435-749-0093",
            "fax_number": "844-965-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 E WARM SPRINGS RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203144",
            "telephone_number": "702-467-7256",
            "fax_number": "844-965-9650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 S Bluff St",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847705206",
            "country_code": "US",
            "telephone_number": "702-467-7256",
            "fax_number": "844-965-9650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "KC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6894-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.