Individual provider Active NPI

Kameron Daniels

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1508339441
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11088-C Issued in NV
Practice address
1887 Whitney Mesa Dr Ste 1221
Henderson, NV 89014-2069
Phone
(702) 550-9079
Fax
(833) 334-0273
NPI assigned
Jan 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 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 11088-C NV Primary

Addresses

Primary practice location

1887 Whitney Mesa Dr Ste 1221
Henderson, NV 89014-2069

Mailing address

1887 Whitney Mesa Dr Ste 1221
Henderson, NV 89014-2069
Phone (702) 550-9079

Other practice location 1

113 Metlakatla St
Sitka, AK 99835-7666
Phone (907) 747-3636

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
I20250829003349 NV Practitioner - Clinical Social Worker 4587165600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Psych ServicesGroup PAC ID 8426439530, 2 clinicians

Practice addresses (Care Compare)

2316 Plaza del Grande
Las Vegas, NV 89102-4028
Phone (702) 550-9079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Psych Services LLC CurrentSince Jul 7, 2025 Accepting new patients
Sitka Counseling & Prevention Services, Inc. PastSince May 21, 2018 Accepting new patients
Sitka Counseling & Prevention Services, Inc. PastSince Mar 22, 2020 Accepting new patients

Locations

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1508339441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 WHITNEY MESA DR STE 1221",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142069",
            "telephone_number": "702-550-9079",
            "fax_number": "833-334-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 WHITNEY MESA DR STE 1221",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142069",
            "telephone_number": "702-550-9079",
            "fax_number": "833-334-0273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Metlakatla St",
            "address_purpose": "LOCATION",
            "city": "Sitka",
            "state": "AK",
            "postal_code": "998357666",
            "country_code": "US",
            "telephone_number": "907-747-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "KAMERON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11088-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.