Individual provider Active NPI

Skarlet Dee Jane Forwood, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1710242375
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7106-C Issued in NV
Practice address
6600 W Charleston Blvd Ste 120
Las Vegas, NV 89146-1067
Phone
(702) 234-3311
Fax
(775) 514-8980
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 7106-C NV Primary

Addresses

Primary practice location

6600 W Charleston Blvd Ste 120
Las Vegas, NV 89146-1067

Mailing address

1261 S 8TH St
Las Vegas, NV 89104
Phone (415) 259-1211

Other practice location 1

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102-4397
Phone (702) 234-3311

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
I20160422001320 NV Practitioner - Clinical Social Worker 5395044564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3321 N Buffalo Dr
Suite 200
Las Vegas, NV 89129-6680

6823 Wimberly St
Las Vegas, NV 89148-4227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowering Minds Therapeutic Services Clinical CurrentSince Oct 1, 2020 Accepting new patients
Neubauer Mental Health Services, Apc Clinical CurrentSince Mar 12, 2016 Accepting new patients
Fundamental Behavioral Services LLC CurrentSince Jun 26, 2024 Accepting new patients

Locations

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

3035 S Maryland Pkwy
Ste 110
Las Vegas, NV 89109
Phone (702) 751-2547

5426 Vegas Dr
Las Vegas, NV 89108
Phone (702) 806-5268

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1710242375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 S 8TH ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "415-259-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W CHARLESTON BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461067",
            "telephone_number": "702-234-3311",
            "fax_number": "775-514-8980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 W SAHARA AVE",
            "address_2": "STE 800",
            "address_purpose": "LOCATION",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024397",
            "country_code": "US",
            "telephone_number": "702-234-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORWOOD",
        "first_name": "SKARLET",
        "middle_name": "DEE JANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2021-02-22",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7106-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.