Individual provider Active NPI

Bryan F Link, M.S.W;L.C.S.W

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1467634352
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6422-C Issued in NV
Practice address
2235 E Flamingo Rd Ste 234
Las Vegas, NV 89119-5197
Phone
(702) 331-5608
Fax
(702) 463-0996
NPI assigned
Dec 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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 6422-C NV Primary

Addresses

Primary practice location

2235 E Flamingo Rd Ste 234
Las Vegas, NV 89119-5197

Mailing address

2235 E Flamingo Rd
Ste 234
Las Vegas, NV 89119-5197
UM
Phone (702) 331-5608

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
I20140701001352 NV Practitioner - Clinical Social Worker 8820213085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2235 E Flamingo Rd
Suite 234
Las Vegas, NV 89119-5197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6422-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Family Services PastSince Aug 30, 2012 Accepting new patients

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1467634352",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2235 E FLAMINGO RD",
            "address_2": "STE 234",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195197",
            "telephone_number": "702-331-5608",
            "fax_number": "702-463-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E FLAMINGO RD STE 234",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195197",
            "telephone_number": "702-331-5608",
            "fax_number": "702-463-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "BRYAN",
        "middle_name": "F",
        "credential": "M.S.W;L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6422-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.