Individual provider Active NPI

Nancy Domiano-Sader, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1679780225
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4818C Issued in NV
Practice address
9550 S Eastern Ave
Suite 220 - B
Las Vegas, NV 89123-8038
Phone
(702) 292-8711
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 4818C NV
Clinical Social Worker 1041C0700X 4818C NV Primary

Addresses

Primary practice location

9550 S Eastern Ave
Suite 220 - B
Las Vegas, NV 89123-8038

Mailing address

9550 S Eastern Ave Ste 220
Las Vegas, NV 89123-8045
Phone (702) 945-1600

Other identifiers 1

IdentifierTypeStateIssuer
1679780225MedicaidNV

Other names 1

  • Nancy L Sader Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1679780225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 S EASTERN AVE STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238045",
            "telephone_number": "702-945-1600",
            "fax_number": "702-463-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 S EASTERN AVE",
            "address_2": "SUITE 220 - B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238038",
            "telephone_number": "702-292-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMIANO-SADER",
        "first_name": "NANCY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NV",
            "license": "4818C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "4818C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679780225",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SADER",
            "middle_name": "L",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.