Individual provider Active NPI

Natalia G Samoylova, CSWI

  • Social Worker
  • Las Vegas, NV
National Provider Identifier
1609207869
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
7455 Arroyo Crossing Pkwy # 7
Las Vegas, NV 89113-4085
Phone
(702) 509-6349
NPI assigned
Dec 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NV
Social Worker 104100000X Primary

Addresses

Primary practice location

7455 Arroyo Crossing Pkwy # 7
Las Vegas, NV 89113-4085

Mailing address

7455 Arroyo Crossing Pkwy
Las Vegas, NV 89113-4085
Phone (702) 409-6349

Other practice location 1

1250 American Pacific Dr Apt 2514
Henderson, NV 89074
Phone (702) 539-8760

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
I20211110000538 NV Practitioner - Clinical Social Worker 5597154732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theravada Mental Health LLC Clinical CurrentSince Oct 12, 2021 Accepting new patients

Locations

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

5715 W Alexander Rd
Ste 115
Las Vegas, NV 89130
Phone (702) 757-8720

2701 N Tenaya Way
Ste 200
Las Vegas, NV 89128
Phone (702) 605-9959

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

Organizations & group practices 1

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": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1609207869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 ARROYO CROSSING PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134085",
            "telephone_number": "702-409-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 ARROYO CROSSING PKWY # 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134085",
            "telephone_number": "702-509-6349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 American Pacific Dr Apt 2514",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "89074",
            "country_code": "US",
            "telephone_number": "702-539-8760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMOYLOVA",
        "first_name": "NATALIA",
        "middle_name": "G",
        "credential": "CSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.