Individual provider Active NPI

Lisa Marie Roberson, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1518448695
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8994-C Issued in NV
Practice address
7180 Cascade Valley CT Ste 200
Las Vegas, NV 89128-0481
Phone
(702) 240-8639
Fax
(702) 240-6970
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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 8994-C NV Primary

Addresses

Primary practice location

7180 Cascade Valley CT Ste 200
Las Vegas, NV 89128-0481

Mailing address

6935 Aliante Pkwy Ste 104474
North Las Vegas, NV 89084-5818
Phone (702) 779-9602

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
I20200226000679 NV Practitioner - Clinical Social Worker 0042647307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2911 N Tenaya Way
Suite 215
Las Vegas, NV 89128-0495
Phone (725) 205-2422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Roberson PLLC Clinical CurrentSince Jul 15, 2021 Accepting new patients

Locations

2911 N Tenaya Way
Ste 215
Las Vegas, NV 89128
Phone (725) 205-2422

3320 N Buffalo Dr
Ste 207
Las Vegas, NV 89129
Phone (702) 659-4825

7180 Cascade Valley Ct
Ste 200
Las Vegas, NV 89128
Phone (702) 240-8639

6935 Aliante Pkwy
Ste 104474
North Las Vegas, NV 89084

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1518448695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 ALIANTE PKWY STE 104474",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890845818",
            "telephone_number": "702-779-9602",
            "fax_number": "027-489-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 CASCADE VALLEY CT STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280481",
            "telephone_number": "702-240-8639",
            "fax_number": "702-240-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8994-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.