Active NPI
Gustavo Salathiel Reyes Sanchez, LMSW, LADC, CSW-I
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1679217921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- IC-2617
- Practice address
- 911 N Buffalo Dr Ste 206213
Las Vegas, NV 89128-0379 - Phone
- (702) 405-8088
- NPI assigned
- Apr 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11294-M | NV | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 07940-L | NV | |
| Clinical Social Worker | 1041C0700X | IC-2617 | NV | Primary |
Addresses
Primary practice location
911 N Buffalo Dr Ste 206213
Las Vegas, NV 89128-0379
Mailing address
1940 Soto LN
North Las Vegas, NV 89032-6019
Phone (702) 701-4488
Other practice location 1
2921 N Tenaya Way
Las Vegas, NV 89128-1409
Phone (702) 978-8000
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 |
|---|---|---|---|
| 07940-L | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 11294-M | NV | MD | Social Worker |
| IC-2617 | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Residential Services LLC | 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.
-
- Substance Abuse Rehabilitation Facility
- Las Vegas, NV
- NPI 1790253060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1679217921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 SOTO LN",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890326019",
"telephone_number": "702-701-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 N BUFFALO DR STE 206213",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280379",
"telephone_number": "702-405-8088"
}
],
"practiceLocations": [
{
"address_1": "2921 N Tenaya Way",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891281409",
"country_code": "US",
"telephone_number": "702-978-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES SANCHEZ",
"first_name": "GUSTAVO",
"middle_name": "SALATHIEL",
"credential": "LMSW, LADC, CSW-I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-22",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "11294-M",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "07940-L",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "IC-2617",
"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 Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.