Individual provider Active NPI

Tracy Ya-Yin Kwan, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1821454976
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8074-C Issued in NV
Practice address
5631 S Pecos Rd
Las Vegas, NV 89120-1961
Phone
(702) 685-0877
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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 8074-C NV Primary

Addresses

Primary practice location

5631 S Pecos Rd
Las Vegas, NV 89120-1961

Mailing address

1904 Sierra Hills Way
Las Vegas, NV 89128-3181
Phone (702) 525-7037

Other practice location 1

2801 S Valley View Blvd Ste 6
Las Vegas, NV 89102-0166
Phone (702) 922-7015

Other practice location 2

5426 Vegas Dr
Las Vegas, NV 89108-2403
Phone (702) 806-5268

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
I20190501001956 NV Practitioner - Clinical Social Worker 4789926304 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endless Empowerment CurrentSince Jan 31, 2021 Accepting new patients
Insight Therapy Solutions LLC Clinical CurrentSince May 28, 2019 Accepting new patients

Locations

3295 N Fort Apache Rd
Ste 110
Las Vegas, NV 89129
Phone (702) 302-4711

5631 S Pecos Rd
Las Vegas, NV 89120
Phone (949) 688-0486

4760 S Pecos Rd
Ste 103
Las Vegas, NV 89121
Phone (702) 369-9706

Organizations & group practices 2

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": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1821454976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 SIERRA HILLS WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283181",
            "telephone_number": "702-525-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5631 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201961",
            "telephone_number": "702-685-0877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 S Valley View Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891020166",
            "country_code": "US",
            "telephone_number": "702-922-7015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5426 Vegas Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891082403",
            "country_code": "US",
            "telephone_number": "702-806-5268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWAN",
        "first_name": "TRACY",
        "middle_name": "YA-YIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8074-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.