Active NPI
Elizabeth Serna
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1821481748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9109-C
- Practice address
- 10655 Park Run Dr Ste 210
Las Vegas, NV 89144-4590 - Phone
- (833) 234-7333
- NPI assigned
- Mar 17, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9109-C | NV | Primary |
Addresses
Primary practice location
10655 Park Run Dr Ste 210
Las Vegas, NV 89144-4590
Mailing address
1909 Peyton Stewart CT
North Las Vegas, NV 89086-1381
Phone (702) 278-3853
Other practice location 1
5460 W Sahara Ave
Las Vegas, NV 89146-3307
Phone (702) 216-8900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9109-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LLM Mahala Corporation, LLC | Past | 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.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1689919854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1821481748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 PEYTON STEWART CT",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861381",
"telephone_number": "702-278-3853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10655 PARK RUN DR STE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891444590",
"telephone_number": "833-234-7333"
}
],
"practiceLocations": [
{
"address_1": "5460 W Sahara Ave",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891463307",
"country_code": "US",
"telephone_number": "702-216-8900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERNA",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-17",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "9109-C",
"primary": true
}
],
"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 Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.