Active NPI
Gary Richard Dymek, LCSW
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1487748950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2716-C
- Practice address
- 2725 E Desert Inn Rd
Ste 180
Las Vegas, NV 89121-3627 - Phone
- (702) 252-8342
- Fax
- (702) 252-8349
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
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.
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 |
|---|---|---|---|
| 2716-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Counseling Center Inc. | Clinical | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2716-C | NV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2725 E Desert Inn Rd
Ste 180
Las Vegas, NV 89121-3627
Mailing address
4316 E. Tropicana Ave
#77
Las Vegas, NV 89121
Phone (702) 451-2141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2018.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1487748950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4316 E. TROPICANA AVE",
"address_2": "#77",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89121",
"telephone_number": "702-451-2141",
"fax_number": "702-451-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 E DESERT INN RD",
"address_2": "STE 180",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213627",
"telephone_number": "702-252-8342",
"fax_number": "702-252-8349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYMEK",
"first_name": "GARY",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "2716-C",
"primary": true
}
],
"identifiers": [],
"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 Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.