Individual provider Active NPI

Raymond Larivee, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1679069454
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9934-C Issued in NV
Practice address
1785 E Sahara Ave Ste 145
Las Vegas, NV 89104-3713
Phone
(702) 486-4349
Fax
(702) 486-6408
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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 9934-C NV Primary
Social Worker 104100000X 7066-S NV

Addresses

Primary practice location

1785 E Sahara Ave Ste 145
Las Vegas, NV 89104-3713

Mailing address

2144 Sun Swept Way
Henderson, NV 89074-4261
Phone (702) 336-0699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7066-SNVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada Current Accepting new patients
Southern Nevada Adult Mental Health CurrentSince Aug 1, 2022 Accepting new patients
State of Nevada CurrentSince Aug 1, 2022 Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

6161 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 486-4400

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

1785 E Sahara Ave
Ste 145
Las Vegas, NV 89104
Phone (702) 486-0427

Organizations & group practices 3

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1679069454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 SUN SWEPT WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890744261",
            "telephone_number": "702-336-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 E SAHARA AVE STE 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043713",
            "telephone_number": "702-486-4349",
            "fax_number": "702-486-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIVEE",
        "first_name": "RAYMOND",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9934-C",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "7066-S",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.