Individual provider Active NPI

Michelle Anne Behrmann, LCSW

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1730562836
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6926 C Issued in NV
Practice address
3100 W. Cheyenne Ave
Suite 100
North Las Vegas, NV 89032-8903
Phone
(702) 636-8729
NPI assigned
Jul 7, 2015
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.016741 IL
Clinical Social Worker 1041C0700X 6926 C NV Primary

Addresses

Primary practice location

3100 W. Cheyenne Ave
Suite 100
North Las Vegas, NV 89032-8903

Mailing address

6027 Linosa CT
Las Vegas, NV 89141-3903
Phone (616) 403-6212

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
I20150805009671 NV Practitioner - Clinical Social Worker 4981918877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empowerment Center of Southern Nevada LLCGroup PAC ID 6709126295, 3 clinicians

Practice addresses (Care Compare)

1024 W Owens Ave
Suite B
Las Vegas, NV 89106-2520
Phone (702) 636-8729

1024 W Owens Ave B
Las Vegas, NV 89106-2520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.016741ILMDClinical Social Worker
6926 CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Center of Southern Nevada LLC CurrentSince Mar 1, 2019 Accepting new patients

Locations

1024 W Owens Ave
Ste B
Las Vegas, NV 89106
Phone (702) 636-8729

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1730562836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 LINOSA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413903",
            "telephone_number": "616-403-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W. CHEYENNE AVE",
            "address_2": "SUITE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328903",
            "telephone_number": "702-636-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHRMANN",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2024-02-23",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016741",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6926 C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.