Individual provider Active NPI

Shelly Rienhardt

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1376973768
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6554-S Issued in NV
Practice address
2820 W Charleston Blvd # C23
Las Vegas, NV 89102-1942
Phone
(702) 437-4673
NPI assigned
Nov 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 6554-S NV Primary

Addresses

Primary practice location

2820 W Charleston Blvd # C23
Las Vegas, NV 89102-1942

Mailing address

2244 Maple Rose Dr
Las Vegas, NV 89134-0189
Phone (702) 296-0737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, WA2 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
I20180710001932 NV Practitioner - Clinical Social Worker 0941556765 Reassigns benefits to 2 organizations
I20240131002293 WA Practitioner - Clinical Social Worker 0941556765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6554-SNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Health and Wellness, LLC CurrentSince Aug 18, 2023 Accepting new patients
Desert Behavioral Health CurrentSince May 16, 2018 Accepting new patients
Mindful Therapy Group PC Clinical CurrentSince Jan 5, 2024 Accepting new patients
Legacy Health and Wellness, LLC CurrentSince Aug 18, 2023 Accepting new patients
H.O.P.E. Las Vegas Past Accepting new patients

Locations

2775 S Jones Blvd
Ste 101
Las Vegas, NV 89146
Phone (702) 685-3300

2921 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 338-8373

4055 Spencer St
Ste 118
Las Vegas, NV 89119
Phone (702) 218-6496

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

Organizations & group practices 5

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": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1376973768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 MAPLE ROSE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340189",
            "telephone_number": "702-296-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD # C23",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021942",
            "telephone_number": "702-437-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIENHARDT",
        "first_name": "SHELLY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6554-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.