Active NPI
Cassandra Kiersch Bohnett, LCSW
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1386076982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9394-C
- Practice address
- 6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133 - Phone
- (702) 479-4881
- Fax
- (702) 966-8662
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | IC1393 | NV | |
| Clinical Social Worker | 1041C0700X | 9394-C | NV | Primary |
Addresses
Primary practice location
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Mailing address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346
Other practice location 1
1785 E Sahara Ave Ste 160
Las Vegas, NV 89104-3759
Phone (702) 252-8342
Other practice location 2
1000 S Rainbow Blvd
Las Vegas, NV 89145-6231
Phone (702) 479-4881
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8308-S | Other | NV | STATE LICENSE |
| 1386076982 | Medicaid | NV | |
| 9394-C | Other | NV | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IC1393 | NV | MD | Social Worker |
| 9394-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1386076982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 S BUFFALO DR FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132133",
"telephone_number": "702-216-3346",
"fax_number": "702-671-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 S BUFFALO DR FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132133",
"telephone_number": "702-479-4881",
"fax_number": "702-966-8662"
}
],
"practiceLocations": [
{
"address_1": "1785 E Sahara Ave Ste 160",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891043759",
"country_code": "US",
"telephone_number": "702-252-8342",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 S Rainbow Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891456231",
"country_code": "US",
"telephone_number": "702-479-4881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOHNETT",
"first_name": "CASSANDRA",
"middle_name": "KIERSCH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NV",
"license": "IC1393",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "9394-C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "8308-S",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386076982",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "9394-C",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.