Individual provider Active NPI

Cheryl A Musson, LCSW

  • Clinical Social Worker
  • Boulder City, NV
National Provider Identifier
1497193031
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C 4455 Issued in NV
Practice address
400 Utah St
Boulder City, NV 89005-2620
Phone
(702) 656-0511
Fax
(702) 442-8126
NPI assigned
Jun 5, 2013
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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 C 4455 NV Primary

Addresses

Primary practice location

400 Utah St
Boulder City, NV 89005-2620

Mailing address

573 Shoshone Way
Boulder City, NV 89005-3048
Phone (702) 626-0511

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
I20230217001043 NV Practitioner - Clinical Social Worker 6305218421 Reassigns benefits to 1 organization
Practice locations: Boulder City, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

508 Nevada Way
Suite 7
Boulder City, NV 89005-2400
Phone (702) 626-0511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C 4455NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients

Locations

203 S Water St
Ste 206
Henderson, NV 89015

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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1497193031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 SHOSHONE WAY",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890053048",
            "telephone_number": "702-626-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UTAH ST",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052620",
            "telephone_number": "702-656-0511",
            "fax_number": "702-442-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSON",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "C 4455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder City, NV

Sources for this page

Verify at the official NPI Registry.