Individual provider Active NPI

Katelyn Newman, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1427574227
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4250 E Bonanza Rd Ste 17
Las Vegas, NV 89110-6105
Phone
(702) 331-4277
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4250 E Bonanza Rd Ste 17
Las Vegas, NV 89110-6105

Mailing address

10151 Dorrell LN Unit 2005
Las Vegas, NV 89166-1037
Phone (702) 556-7291

Other practice location 1

2901 N Tenaya Way Ste 100
Las Vegas, NV 89128
Phone (702) 291-2151

Other practice location 2

2921 N Tenaya Way Ste 235
Las Vegas, NV 89128-1417
Phone (702) 556-7291

Other practice location 3

2921 N Tenaya Way Ste 235
Las Vegas, NV 89128-1417
Phone (702) 556-7291

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
I20210921001838 NV Practitioner - Clinical Social Worker 6800293671 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer C Moore MSW LCSW Inc Clinical CurrentSince Jul 1, 2021 Accepting new patients
Therapeutic Solutions LLC CurrentSince May 11, 2022 Accepting new patients

Locations

7180 Cascade Valley Ct
Ste 200
Las Vegas, NV 89128
Phone (702) 240-8639

2921 N Tenaya Way
Ste 235
Las Vegas, NV 89128
Phone (702) 556-7291

4250 E Bonanza Rd
Ste 17
Las Vegas, NV 89110
Phone (702) 331-4277

Organizations & group practices 2

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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1427574227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 DORRELL LN UNIT 2005",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891661037",
            "telephone_number": "702-556-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 E BONANZA RD STE 17",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891106105",
            "telephone_number": "702-331-4277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 N Tenaya Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89128",
            "country_code": "US",
            "telephone_number": "702-291-2151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2921 N Tenaya Way Ste 235",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891281417",
            "country_code": "US",
            "telephone_number": "702-556-7291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2921 N Tenaya Way Ste 235",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891281417",
            "country_code": "US",
            "telephone_number": "702-556-7291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "KATELYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.