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
- Last updated
- Apr 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2716-C | NV | Primary |
Addresses
Primary 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
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 |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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.