Individual provider Active NPI

Brooklyn R Kneip, LCSW

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1386803625
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5250-C Issued in NV
Practice address
2920 N Green Valley Pkwy
BLDG 3 Suite 312
Henderson, NV 89014-0406
Phone
(702) 253-1173
Fax
(702) 253-1468
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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 5250-C NV Primary

Addresses

Primary practice location

2920 N Green Valley Pkwy
BLDG 3 Suite 312
Henderson, NV 89014-0406

Mailing address

2920 N Green Valley Pkwy
BLDG 3 Suite 312
Henderson, NV 89014-0406
Phone (702) 253-1173

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
I20140204000750 NV Practitioner - Clinical Social Worker 6608005137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Rock Psychological Health LLCGroup PAC ID 4880830348, 4 clinicians

Practice addresses (Care Compare)

1515 E Tropicana Ave
Suite 580
Las Vegas, NV 89119-6517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5250-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Red Rock Psychological Health, LLC Clinical CurrentSince Nov 25, 2013 Accepting new patients

Locations

6402 McLeod Dr
Ste 5
Las Vegas, NV 89120
Phone (702) 898-5311

1515 E Tropicana Ave
Ste 580
Las Vegas, NV 89119
Phone (702) 290-2625

Organizations & group practices 1

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1386803625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY",
            "address_2": "BLDG 3 SUITE 312",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140406",
            "telephone_number": "702-253-1173",
            "fax_number": "702-253-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY",
            "address_2": "BLDG 3 SUITE 312",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140406",
            "telephone_number": "702-253-1173",
            "fax_number": "702-253-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEIP",
        "first_name": "BROOKLYN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5250-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.