Individual provider Active NPI

Christina Rose Gaglione, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1578869301
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6856-C Issued in NV
Practice address
1901 S Jones Blvd
Las Vegas, NV 89146
Phone
(702) 815-1550
NPI assigned
Jan 26, 2011
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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 6856-C NV Primary

Addresses

Primary practice location

1901 S Jones Blvd
Las Vegas, NV 89146

Mailing address

1901 S Jones Blvd
Las Vegas, NV 89146-1260
Phone (702) 815-1550

Other practice location 1

4000 E Charleston Blvd Ste 230
Las Vegas, NV 89104-6682
Phone (702) 968-5000

Other practice location 2

8766 S Maryland Pkwy Ste 107
Las Vegas, NV 89123-6701
Phone (702) 551-9320

Other practice location 3

8685 S Eastern Ave
Las Vegas, NV 89123-2839
Phone (702) 754-0807

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
I20180726001383 NV Practitioner - Clinical Social Worker 1951658632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serenity Mental HealthGroup PAC ID 3072813245, 9 clinicians

Practice addresses (Care Compare)

6048 S Durango Dr
Suite 115
Las Vegas, NV 89113-1781
Phone (702) 815-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6856-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Mental Health CurrentSince Jun 10, 2018 Accepting new patients
Serenity Counseling LLC CurrentSince Aug 23, 2018 Accepting new patients

Locations

1901 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 486-0000

6048 S Durango Dr
Ste 115
Las Vegas, NV 89113
Phone (775) 513-8923

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1578869301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-815-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-815-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 E Charleston Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891046682",
            "country_code": "US",
            "telephone_number": "702-968-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8766 S Maryland Pkwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891236701",
            "country_code": "US",
            "telephone_number": "702-551-9320",
            "fax_number": "702-551-9320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8685 S Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891232839",
            "country_code": "US",
            "telephone_number": "702-754-0807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGLIONE",
        "first_name": "CHRISTINA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6856-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.