Individual provider Active NPI

Mindy Graves, LMSW, CSW INTERN

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1811821077
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-3070 Issued in NV
Practice address
4538 W Craig Rd Ste 290
North Las Vegas, NV 89032-2511
Phone
(702) 486-5659
Fax
(702) 486-5630
NPI assigned
Jun 11, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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 IC-3070 NV Primary

Addresses

Primary practice location

4538 W Craig Rd Ste 290
North Las Vegas, NV 89032-2511

Mailing address

4538 W Craig Rd Ste 290
North Las Vegas, NV 89032-2511
Phone (702) 486-5659

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

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1811821077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 W CRAIG RD STE 290",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322511",
            "telephone_number": "702-486-5659",
            "fax_number": "702-486-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4538 W CRAIG RD STE 290",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322511",
            "telephone_number": "702-486-5659",
            "fax_number": "702-486-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "MINDY",
        "credential": "LMSW, CSW INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-3070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.