Individual provider Active NPI

Sondra Regina Bryant, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1518177310
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8655-C Issued in NV
Practice address
2780 S Jones Blvd Ste 115D
Las Vegas, NV 89146-5625
Phone
(702) 935-0025
Fax
(702) 935-0008
NPI assigned
May 23, 2007
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8518 SC
Clinical Social Worker 1041C0700X 8655-C NV Primary

Addresses

Primary practice location

2780 S Jones Blvd Ste 115D
Las Vegas, NV 89146-5625

Mailing address

2780 S Jones Blvd Ste 115D
Las Vegas, NV 89146-5625
Phone (702) 935-0025

Other practice location 1

2920 N Green Valley Pkwy Ste 312
Henderson, NV 89014-0412
Phone (702) 935-0025

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
I20200220003119 NV Practitioner - Clinical Social Worker 3971930512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Life Coaching LLCGroup PAC ID 4981969771, 8 clinicians

Practice addresses (Care Compare)

2780 S Jones Blvd
Las Vegas, NV 89146-5625
Phone (702) 935-0025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8518SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
True Life Coaching LLC CurrentSince Feb 2, 2020 Accepting new patients

Locations

2920 N Green Valley Pkwy
Ste 312
Henderson, NV 89014
Phone (702) 253-1173

2780 S Jones Blvd
Ste 100A
Las Vegas, NV 89146
Phone (702) 233-6694

2780 S Jones Blvd
Ste 115D
Las Vegas, NV 89146
Phone (702) 935-0025

2780 S Jones Blvd
Ste 205
Las Vegas, NV 89146
Phone (702) 217-8030

2550 Nature Park Dr
Ste 210
North Las Vegas, NV 89084
Phone (702) 935-0025

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1518177310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 115D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465625",
            "telephone_number": "702-935-0025",
            "fax_number": "702-935-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 115D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465625",
            "telephone_number": "702-935-0025",
            "fax_number": "702-935-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 N Green Valley Pkwy Ste 312",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890140412",
            "country_code": "US",
            "telephone_number": "702-935-0025",
            "fax_number": "702-935-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "SONDRA",
        "middle_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8518",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8655-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.