Individual provider Active NPI

Michelle Sernas, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1609228386
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9461-C Issued in NV
Practice address
1701 W Charleston Blvd Ste 300
Las Vegas, NV 89102-2313
Phone
(702) 251-8000
NPI assigned
Jul 6, 2016
Last updated
Oct 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8254-S NV
Clinical Social Worker 1041C0700X 9461-C NV Primary

Addresses

Primary practice location

1701 W Charleston Blvd Ste 300
Las Vegas, NV 89102-2313

Mailing address

1701 W Charleston Blvd Ste 300
Las Vegas, NV 89102-2313
Phone (702) 251-8000

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
I20201021000458 NV Practitioner - Clinical Social Worker 4284054883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Health Centers IncGroup PAC ID 7113835307, 39 clinicians

Practice addresses (Care Compare)

3900 Cambridge St
Suite 102
Las Vegas, NV 89119-7440
Phone (702) 307-5415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9461-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Health Centers Inc CurrentSince Jul 18, 2022 Accepting new patients
PHC of Nevada Inc Mental Health CurrentSince Sep 15, 2020 Accepting new patients
Nevada Health Centers, Inc CurrentSince Jul 18, 2022 Accepting new patients
Nevada Health Centers, Inc Current Accepting new patients

Locations

1690 E Amargosa Farm Rd
Amargosa Valley, NV 89020
Phone (775) 372-5432

3325 Research Way
Carson City, NV 89706
Phone (775) 887-5140

618 W Musser St
Carson City, NV 89703
Phone (775) 445-3500

762 14th St
Elko, NV 89801
Phone (775) 738-5850

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

1799 Mount Mariah Dr
Las Vegas, NV 89106
Phone (702) 383-1961

3900 Cambridge St
Ste 102
Las Vegas, NV 89119
Phone (702) 307-5415

Interoperability endpoints

  • Direct secure messaging: michelle.sernas.p1@direct.nevadahealthcenters.nextgenshare.com
  • Direct secure messaging: msernas695152@direct.ochin.org

Organizations & group practices 4

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1609228386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022313",
            "telephone_number": "702-251-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022313",
            "telephone_number": "702-251-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERNAS",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "8254-S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9461-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.