Individual provider Active NPI

Erin Carter

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1568907012
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6977-C Issued in NV
Practice address
1701 W Charleston Blvd
Ste 300
Las Vegas, NV 89102-2325
Phone
(702) 251-8000
NPI assigned
Dec 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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 6977-C NV Primary

Addresses

Primary practice location

1701 W Charleston Blvd
Ste 300
Las Vegas, NV 89102-2325

Mailing address

1701 W Charleston Blvd
Ste 320
Las Vegas, NV 89102-2325
Phone (702) 251-8000

Other identifiers 1

IdentifierTypeStateIssuer
6977-COtherNVLCSW

Other names 1

  • Erin Lake Former name

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
I20170221001612 NV Practitioner - Clinical Social Worker 5092099929 Reassigns benefits to 2 organizations
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8565 S Eastern Ave
Las Vegas, NV 89123-2808
Phone (702) 530-8479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6977-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Theravada Mental Health LLC Clinical CurrentSince Oct 12, 2021 Accepting new patients
PHC of Nevada Inc Clinical CurrentSince Dec 13, 2016 Accepting new patients

Locations

2701 N Tenaya Way
Ste 200
Las Vegas, NV 89128
Phone (702) 757-8720

1607 E Windmill Ln
Ste 300
Las Vegas, NV 89123
Phone (702) 757-8720

1701 W Charleston Blvd
Ste 300
Las Vegas, NV 89102
Phone (702) 251-8000

2445 Fire Mesa St
Ste 270
Las Vegas, NV 89128
Phone (702) 212-3008

Organizations & group practices 2

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": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1568907012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD",
            "address_2": "STE 320",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022325",
            "telephone_number": "702-251-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD",
            "address_2": "STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022325",
            "telephone_number": "702-251-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6977-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "6977-C",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "LAKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.