Individual provider Active NPI

Erin Nicole Paulin, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1700455490
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10989-C Issued in NV
Practice address
4485 S Buffalo Dr
Las Vegas, NV 89147-5006
Phone
(702) 888-6300
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 10989-C NV Primary

Addresses

Primary practice location

4485 S Buffalo Dr
Las Vegas, NV 89147-5006

Mailing address

1026 Apple Vista Ave
North Las Vegas, NV 89031-6623
Phone (760) 362-3622

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
I20240612000146 NV Practitioner - Clinical Social Worker 9032651575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10989-CNVMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: erin.paulin@489656322949124.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1700455490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 APPLE VISTA AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890316623",
            "telephone_number": "760-362-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 S BUFFALO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475006",
            "telephone_number": "702-888-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULIN",
        "first_name": "ERIN",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10989-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.