Individual provider Active NPI

Katherine Ann Moldovan, L.C.S.W.

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1578634192
Registry record updated Jan 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4474-C Issued in NV
Practice address
2820 W Charleston Blvd
#C23
Las Vegas, NV 89102-1942
Phone
(702) 437-4673
Fax
(702) 438-4673
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2013

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 4474-C NV Primary

Addresses

Primary practice location

2820 W Charleston Blvd
#C23
Las Vegas, NV 89102-1942

Mailing address

2820 W Charleston Blvd
#C23
Las Vegas, NV 89102-1942
Phone (702) 437-4673

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
I20130109000034 NV Practitioner - Clinical Social Worker 0244483949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
H.O.P.E. Counseling Services LLCGroup PAC ID 2062678642, 7 clinicians

Practice addresses (Care Compare)

601 S Rancho Dr
Suite A10
Las Vegas, NV 89106-4898
Phone (702) 445-5653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4474-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
H.O.P.E. Counseling Services LLC Clinical CurrentSince Oct 2, 2012 Accepting new patients
H.O.P.E. Las Vegas Past Accepting new patients

Locations

6600 W Charleston Blvd
Ste 140
Las Vegas, NV 89146
Phone (702) 440-8440

601 S Rancho Dr
Ste A10
Las Vegas, NV 89106
Phone (702) 445-5653

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358553600000",
    "number": "1578634192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD",
            "address_2": "#C23",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021942",
            "telephone_number": "702-437-4673",
            "fax_number": "702-438-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD",
            "address_2": "#C23",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021942",
            "telephone_number": "702-437-4673",
            "fax_number": "702-438-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDOVAN",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "4474-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.