Lauren Ballardini, LMSW
Individual provider Active NPI Social Worker · Las Vegas, NV
NPI 1508609744 · NPPES record last updated Jun 15, 2024
Key facts
- NPI
- 1508609744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 2576-M (NV)
- Practice address
- 1607 E Windmill LN Ste 300
Las Vegas, NV 89123-1910 - Phone
- (702) 757-8720
- NPI assigned
- Jun 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2576-M | NV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theravada Mental Health LLC | Single Specialty | Current |
Accepting new patients |
Locations
1607 E Windmill Ln
Ste 300
Las Vegas, NV 89123
Phone (702) 757-8720
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | 2576-M | NV | Yes |
Addresses
Primary practice location
1607 E Windmill LN Ste 300
Las Vegas, NV 89123-1910
Mailing address
1607 E Windmill LN Ste 300
Las Vegas, NV 89123-1910
Phone (702) 757-8720
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.