Jollene Stiles-Bradsher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5731-C Issued in NV

Practice address

1771 E Flamingo Rd Ste 106a
Las Vegas, NV 89119-5156

Phone

(702) 318-7544

NPI assigned

Dec 19, 2011

Last updated

Jan 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Evolving Minds Behavioral Health Services

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1801454673
  NPD Authorized official
• Affinity Child and Family Services, Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1285175950
  Authorized official Same address or phone
• Gerona Porcel LLC

  dba Light Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1780151415
  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1780953844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 106A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195156",
            "telephone_number": "702-318-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 106A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195156",
            "telephone_number": "702-318-7544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6298 Bold Regatta Ct",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891396459",
            "country_code": "US",
            "telephone_number": "702-256-0140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILES-BRADSHER",
        "first_name": "JOLLENE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 25304",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5731-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Stiffler, CPNP-PC
• Tiffany Baxter Stifter, MA, MFT
• Flora Mae Stiggle
• Daisy Margaret Stikovac, M.D.
• Frank Louis Stile, MD
• Erica Kristina Stiles, PA-C
• Tami Michelle Stiles
• Still Standing,Inc
• Still Waters Behavioral Health and Family Services
• Still Waters Behavioral Health and Family Services

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.