Active NPI
Sarah Rose Bolor
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1487958799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- IC-1214
- Practice address
- 2980 S Rainbow Blvd # 210D
Las Vegas, NV 89146-6531 - Phone
- (702) 673-7462
- NPI assigned
- Dec 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Clinical Social Worker | 1041C0700X | IC-1214 | NV | Primary |
Addresses
Primary practice location
2980 S Rainbow Blvd # 210D
Las Vegas, NV 89146-6531
Mailing address
6198 Carson Hills Ave
Las Vegas, NV 89139-6871
Phone (702) 376-3693
Other practice location 1
7381 Prairie Falcon Rd
Las Vegas, NV 89128-0811
Phone (702) 376-3693
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IC-1214 | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525824000000",
"number": "1487958799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6198 CARSON HILLS AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891396871",
"telephone_number": "702-376-3693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 S RAINBOW BLVD # 210D",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466531",
"telephone_number": "702-673-7462"
}
],
"practiceLocations": [
{
"address_1": "7381 Prairie Falcon Rd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891280811",
"country_code": "US",
"telephone_number": "702-376-3693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLOR",
"first_name": "SARAH",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-29",
"last_updated": "2018-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"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": "IC-1214",
"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 May 9, 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.