Individual provider Active NPI

Sharonda Henry

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1669723706
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6065 Stern Cove CT
North Las Vegas, NV 89031-4261
Phone
(702) 378-3319
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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 NV Primary

Addresses

Primary practice location

6065 Stern Cove CT
North Las Vegas, NV 89031-4261

Mailing address

2205 Mountain Rail Dr
North Las Vegas, NV 89084-3125
Phone (702) 378-3319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: No
  • 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
I20250429001807 NV Practitioner - Clinical Social Worker 6709279037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Way Empowerment Center LLC Clinical CurrentSince Apr 16, 2025 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince Apr 16, 2025 Accepting new patients

Locations

1919 S Jones Blvd
Ste G
Las Vegas, NV 89146
Phone (702) 695-4345

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1669723706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 MOUNTAIN RAIL DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843125",
            "telephone_number": "702-378-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 STERN COVE CT",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314261",
            "telephone_number": "702-378-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SHARONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.