Individual provider Active NPI

Lauren Kathryn Caravello, LICSW, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1750029104
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11186-C Issued in NV
Practice address
7465-7477 W Lake Mead Blvd Ste 210
Las Vegas, NV 89128-1026
Phone
(360) 583-5475
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 61334739 WA
Clinical Social Worker 1041C0700X 11186-C NV Primary

Addresses

Primary practice location

7465-7477 W Lake Mead Blvd Ste 210
Las Vegas, NV 89128-1026

Mailing address

7495 W Azure Dr Ste 110
Las Vegas, NV 89130-4433
Phone (360) 583-5475

Other practice location 1

7495 W Azure Dr Ste 110
Las Vegas, NV 89130-4433
Phone (360) 583-5475

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11186-CNVMDClinical Social Worker
61334739WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1750029104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 W AZURE DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304433",
            "telephone_number": "360-583-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7465-7477 W LAKE MEAD BLVD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281026",
            "telephone_number": "360-583-5475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7495 W Azure Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891304433",
            "country_code": "US",
            "telephone_number": "360-583-5475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARAVELLO",
        "first_name": "LAUREN",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61334739",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11186-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.