Jeremy Bradford Setters

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8762-C Issued in NV

Practice address

2340 E Calvada Blvd Ste E
Pahrump, NV 89048-6099

Phone

(702) 327-1760

NPI assigned

Dec 28, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• I.C.a.N. Family Services LLC

  • Community/Behavioral Health Agency
  • Carson City, NV
  • NPI 1700385044
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1477857977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E CALVADA BLVD STE E",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890486099",
            "telephone_number": "702-327-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E CALVADA BLVD STE E",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890486099",
            "telephone_number": "702-327-1760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5302 Jacala St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891227666",
            "country_code": "US",
            "telephone_number": "702-327-1760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETTERS",
        "first_name": "JEREMY",
        "middle_name": "BRADFORD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-28",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8762-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Earl Searles
• Tiffany Chrystal Seeback
• Katarina Sepulveda, DC, LCCE, DOULA
• Kevin Sepulveda
• Serenity Nonprofit
• Rhonda Shade
• Aaron Sharp
• Jessica L Shelton, RBT
• Natalie Shelton
• Brittany Shemp

• Clinical Social Worker in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.