Active NPI
Antonia C Bryant, LMSW/CSW-I
- Social Worker
- Las Vegas, NV
National Provider Identifier
1801448501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9923-M
- Practice address
- 4485 S Buffalo Dr
Las Vegas, NV 89147-5006 - Phone
- (702) 888-6300
- NPI assigned
- Jul 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 9923-M | NV | Primary |
| Clinical Social Worker | 1041C0700X | IC-2339 | NV |
Addresses
Primary practice location
4485 S Buffalo Dr
Las Vegas, NV 89147-5006
Mailing address
2655 E Deer Springs Way Apt 2061
North Las Vegas, NV 89086-1464
Phone (323) 599-6740
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9923-M | NV | MD | Social Worker |
| IC-2339 | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1801448501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 E DEER SPRINGS WAY APT 2061",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861464",
"telephone_number": "323-599-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4485 S BUFFALO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891475006",
"telephone_number": "702-888-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "ANTONIA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LMSW/CSW-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-12",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "9923-M",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "IC-2339",
"primary": false
}
],
"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 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.