Active NPI
Yasamin Damavandi, LMSW
- Social Worker
- Las Vegas, NV
National Provider Identifier
1619716669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11430-M
- Practice address
- 4029 Dean Martin Dr
Las Vegas, NV 89103-4138 - Phone
- (702) 848-2256
- NPI assigned
- May 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11430-M | NV | Primary |
Addresses
Primary practice location
4029 Dean Martin Dr
Las Vegas, NV 89103-4138
Mailing address
PO Box 90550
Henderson, NV 89009-0550
Phone (702) 956-2256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11430-M | NV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewed Hope Health & Wellness Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
- NPI 1558948893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1619716669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90550",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890090550",
"telephone_number": "702-956-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4029 DEAN MARTIN DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891034138",
"telephone_number": "702-848-2256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMAVANDI",
"first_name": "YASAMIN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "11430-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.