Individual provider Active NPI

Devon T Hillison, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1801412598
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
8950 W Tropicana Ave Ste 1
Las Vegas, NV 89147-8138
Phone
(022) 408-6397
Fax
(702) 268-7732
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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 Primary

Addresses

Primary practice location

8950 W Tropicana Ave Ste 1
Las Vegas, NV 89147-8138

Mailing address

8950 W Tropicana Ave Ste 1
Las Vegas, NV 89147-8138
Phone (022) 408-6397

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
I20240308002534 NV Practitioner - Clinical Social Worker 0941646251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer C Moore MSW LCSW IncGroup PAC ID 8628137304, 10 clinicians

Practice addresses (Care Compare)

7180 Cascade Valley CT
Suite 200
Las Vegas, NV 89128-0481
Phone 70224086391

8950 W Tropicana Ave
Suite 1
Las Vegas, NV 89147-8138
Phone (702) 240-8639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer C Moore MSW LCSW Inc Clinical CurrentSince Jan 14, 2024 Accepting new patients
Jennifer C Moore MSW LCSW Inc Clinical Past Accepting new patients
Jennifer C Moore MSW LCSW Inc Clinical Past Accepting new patients

Locations

660 S Green Valley Pkwy
Ste 140150
Henderson, NV 89052
Phone (702) 240-8639

1301 Seven Hills Dr
Ste 120
Henderson, NV 89052
Phone (702) 240-8639

7180 Cascade Valley Ct
Ste 200
Las Vegas, NV 89128
Phone (702) 240-8639

8950 W Tropicana Ave
Ste 1
Las Vegas, NV 89147
Phone (702) 240-8639

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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1801412598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 W TROPICANA AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478138",
            "telephone_number": "022-408-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W TROPICANA AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478138",
            "telephone_number": "022-408-6397",
            "fax_number": "702-268-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLISON",
        "first_name": "DEVON",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.