Active NPI
Matthew Scott Dustin, LCSW
- Clinical Social Worker
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6118-C
- Practice address
- 6070 S Eastern Ave
#200
Las Vegas, NV 89119-3171 - Phone
- (702) 292-3774
- NPI assigned
- Nov 25, 2009
- Last updated
- Apr 4, 2012
- Sex
- Male
- 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 | 6118-C | NV | Primary |
Addresses
Primary practice location
6070 S Eastern Ave
#200
Las Vegas, NV 89119-3171
Mailing address
3421 Brayton Mist Dr
North Las Vegas, NV 89081-6527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
3903 Harrison Blvd
Suite 300
Ogden, UT 84403-2362
Phone (801) 387-5600
5770 S 1500
Primary Childrens Behavioral Health
Salt Lake City, UT 84123-5216
Phone (801) 265-3412
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6118-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| All About You Counseling and Support Services | Clinical | Past | Accepting new patients |
| All About You Counseling and Support Services | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1225 E Fort Union Blvd
Ste 315
Midvale, UT 84047
Phone (801) 233-4100
3903 Medical Dr
Ste 300
Ogden, UT 84403
Phone (801) 387-4930
745 S 2000 W
Syracuse, UT 84075
Phone (801) 525-2400
5770 S 1500 W
Taylorsville, UT 84123
Phone (801) 265-3000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Primary Children's Hospital Child Psychology & Psychiatry
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taylorsville, UT
- NPI 1063536381
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1316272768
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1649569823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1861720047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 BRAYTON MIST DR",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890816527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6070 S EASTERN AVE",
"address_2": "#200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891193171",
"telephone_number": "702-292-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSTIN",
"first_name": "MATTHEW",
"middle_name": "SCOTT",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-25",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "6118-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 Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.