Individual provider Active NPI

Sarynn Rosemarie Pentland, LMSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1760749402
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-2192 Issued in NV
Practice address
1701 W Charleston Blvd Ste 300
Las Vegas, NV 89102-2313
Phone
(702) 251-8000
Fax
(702) 471-0120
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Clinical Social Worker 1041C0700X IC-2192 NV Primary

Addresses

Primary practice location

1701 W Charleston Blvd Ste 300
Las Vegas, NV 89102-2313

Mailing address

1701 W Charleston Blvd Ste 300
Las Vegas, NV 89102-2313
Phone (702) 251-8000

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
I20231113003291 NV Practitioner - Clinical Social Worker 3274980263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IC-2192NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
PHC of Nevada Inc Clinical CurrentSince Sep 24, 2023 Accepting new patients

Locations

1701 W Charleston Blvd
Ste 300
Las Vegas, NV 89102
Phone (702) 251-8000

Interoperability endpoints

  • Direct secure messaging: sarynn.pentland@harmonyhc.directbygreenway.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1760749402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022313",
            "telephone_number": "702-251-8000",
            "fax_number": "702-471-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022313",
            "telephone_number": "702-251-8000",
            "fax_number": "702-471-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTLAND",
        "first_name": "SARYNN",
        "middle_name": "ROSEMARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-2192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.