1St Clark County Medical Clinic LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

1ST CLARK COUNTY MEDICAL CLINIC LLC

Practice address

1085 Hwy 95 Ste E
Hawthorne, NV 89415-7771

Phone

(702) 485-3450

NPI assigned

May 13, 2024

Last updated

Mar 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grezilda Mae Cabo

Title

Managing Member

Phone

(702) 445-1196

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1649029794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 HWY 95 STE E",
            "city": "HAWTHORNE",
            "state": "NV",
            "postal_code": "894157771",
            "telephone_number": "702-485-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 HWY 95 STE E",
            "city": "HAWTHORNE",
            "state": "NV",
            "postal_code": "894157771",
            "telephone_number": "702-485-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CLARK COUNTY MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "CABO",
        "authorized_official_first_name": "GREZILDA MAE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-445-1196"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James T Ahlstrom, PT, DPT
• Laura Ahlstrom, LMFT-I
• Janae Anderson
• Guy Archambault
• Kirk Arritt, D.D.S

• Clinical Social Worker in Hawthorne, NV
• Providers in Hawthorne, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.