Individual provider Active NPI

David T. Lebaron, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1699985887
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
235 N Eastern Ave Ste 102
Las Vegas, NV 89101-4544
Phone
(702) 434-2166
Fax
(702) 434-2523
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 01709-C NV
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

235 N Eastern Ave Ste 102
Las Vegas, NV 89101-4544

Mailing address

3430 E Flamingo Rd Ste 306
Las Vegas, NV 89121-5066
Phone (702) 434-2166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • 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
I20190507000577 NV Practitioner - Clinical Social Worker 5991047235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Las Vegas, NV 89130
Phone (702) 675-3848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01709-CNVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Assurance Services LLC CurrentSince Jan 27, 2019 Accepting new patients
Liberations LLC CurrentSince Sep 12, 2018 Accepting new patients
Liberations LLC PastSince Jun 15, 2021 Accepting new patients

Locations

235 N Eastern Ave
Ste 102
Las Vegas, NV 89101
Phone (702) 333-1054

2655 S Rainbow Blvd
Ste 100
Las Vegas, NV 89146
Phone (702) 675-3848

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1699985887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215066",
            "telephone_number": "702-434-2166",
            "fax_number": "702-434-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N EASTERN AVE STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891014544",
            "telephone_number": "702-434-2166",
            "fax_number": "702-434-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBARON",
        "first_name": "DAVID",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "01709-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.