Active NPI
Karin Heidi Metcalf, LCSW, ACSW
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1710046115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8015-C
- Practice address
- 2950 S Rancho Dr Ste 105
Las Vegas, NV 89102-0740 - Phone
- (702) 754-5566
- Fax
- (702) 489-5948
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34003269A | IN | |
| Clinical Social Worker | 1041C0700X | 8015-C | NV | Primary |
Addresses
Primary practice location
2950 S Rancho Dr Ste 105
Las Vegas, NV 89102-0740
Mailing address
2950 S Rancho Dr Ste 105
Las Vegas, NV 89102-0740
Phone (702) 533-4334
Other practice location 1
4444 Calle Real
Calle Real Outpatient Clinic
Santa Barbara, CA 93110-1002
Phone (805) 681-5385
Other names 1
- Ms. Karin Heidi Godec
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003269A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundant Behavioral Health 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.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1558809681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1710046115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 S RANCHO DR STE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891020740",
"telephone_number": "702-533-4334",
"fax_number": "702-754-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 S RANCHO DR STE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891020740",
"telephone_number": "702-754-5566",
"fax_number": "702-489-5948"
}
],
"practiceLocations": [
{
"address_1": "4444 Calle Real",
"address_2": "Calle Real Outpatient Clinic",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931101002",
"country_code": "US",
"telephone_number": "805-681-5385",
"fax_number": "805-681-5239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "METCALF",
"first_name": "KARIN",
"middle_name": "HEIDI",
"name_prefix": "Mrs.",
"credential": "LCSW, ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34003269A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "8015-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARIN",
"last_name": "GODEC",
"middle_name": "HEIDI",
"prefix": "MS.",
"credential": "CCSW, ACSW",
"code": "1",
"type": "Former Name"
}
]
}
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 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.