Individual provider Active NPI

Jean K. Lerner, L.C.S.W

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1801969878
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6575-C Issued in NV
Practice address
11500 S Eastern Ave Ste 1507
Henderson, NV 89052-5574
Phone
(713) 660-7200
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 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 6575-C NV Primary

Addresses

Primary practice location

11500 S Eastern Ave Ste 1507
Henderson, NV 89052-5574

Mailing address

2150 Burtonsville Dr
Henderson, NV 89044-0140
Phone (713) 660-7200

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
I20141205001300 NV Practitioner - Clinical Social Worker 9234288721 Practice locations: Henderson, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2538 Anthem Village Dr
Suite 125
Henderson, NV 89052-5560
Phone (713) 660-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6575-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Mental Health Center, Inc. PastSince May 5, 2009 Accepting new patients

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1801969878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 BURTONSVILLE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440140",
            "telephone_number": "713-660-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 S EASTERN AVE STE 1507",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525574",
            "telephone_number": "713-660-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "JEAN",
        "middle_name": "K.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-06-13",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6575-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.