Organization Active NPI

Gold Clinical Services LLC

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1518473032
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6823C Issued in NV
Legal business name
GOLD CLINICAL SERVICES LLC
Practice address
3885 S Decatur Blvd Ste 3010
Las Vegas, NV 89103-6814
Phone
(702) 875-6618
Fax
(702) 875-6618
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Laurey Ray, CMBS
Title
Billing Manager
Phone
(702) 268-5067

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6823C NV Primary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

3885 S Decatur Blvd Ste 3010
Las Vegas, NV 89103-6814

Mailing address

3885 S Decatur Blvd Ste 3010
Las Vegas, NV 89103-6814
Phone (702) 875-6618

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1518473032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 S DECATUR BLVD STE 3010",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891036814",
            "telephone_number": "702-875-6618",
            "fax_number": "702-566-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 S DECATUR BLVD STE 3010",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891036814",
            "telephone_number": "702-875-6618",
            "fax_number": "702-875-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "LAUREY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "702-268-5067",
        "authorized_official_credential": "CMBS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6823C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.