Individual provider Active NPI

Shannon Hsu

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1528468170
Registry record updated Feb 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8715-C Issued in NV
Practice address
9159 Nostrand Ave
Las Vegas, NV 89148-4388
Phone
(702) 797-0283
NPI assigned
Sep 2, 2014
Reactivated
Nov 16, 2017
Last updated
Feb 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2025

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 8715-C NV Primary

Addresses

Primary practice location

9159 Nostrand Ave
Las Vegas, NV 89148-4388

Mailing address

9159 Nostrand Ave
Las Vegas, NV 89148-4388
Phone (702) 797-0283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8715-CNVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1528468170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9159 NOSTRAND AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484388",
            "telephone_number": "702-797-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9159 NOSTRAND AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484388",
            "telephone_number": "702-797-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "deactivation_date": "2017-05-31",
        "reactivation_date": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8715-C",
            "primary": true
        }
    ],
    "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 Feb 16, 2025; 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.