Active NPI
Paula Jane Baskette, LCSW
- Clinical Social Worker
- Henderson, NV
National Provider Identifier
1851496780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4098-L
- Practice address
- 277 Grand Olympia Dr
Henderson, NV 89012-4810 - Phone
- (702) 433-1165
- Fax
- (702) 796-9490
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 4098-L | NV | Primary |
Addresses
Primary practice location
277 Grand Olympia Dr
Henderson, NV 89012-4810
Mailing address
277 Grand Olympia Dr
Henderson, NV 89012-4810
Phone (702) 433-1165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001868625 | Other | NV | TAX ID |
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 |
|---|---|---|---|
| 4098-L | NV | MD | Clinical Social Worker |
| 7671 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851496780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 GRAND OLYMPIA DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890124810",
"telephone_number": "702-433-1165",
"fax_number": "702-796-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 GRAND OLYMPIA DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890124810",
"telephone_number": "702-433-1165",
"fax_number": "702-796-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASKETTE",
"first_name": "PAULA",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "4098-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "1001868625",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.