Active NPI
Shanthi Reddy, MSW
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1871933044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5937-S
- Practice address
- 4650 N Rainbow Blvd Apt 2042
Las Vegas, NV 89108-5763 - Phone
- (808) 205-4335
- NPI assigned
- Jul 2, 2013
- Last updated
- Jul 2, 2013
- 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 | 5937-S | NV | Primary |
Addresses
Primary practice location
4650 N Rainbow Blvd Apt 2042
Las Vegas, NV 89108-5763
Mailing address
4650 N Rainbow Blvd. 2042
Las Vegas, NV 89108
Phone (808) 205-4335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1135 | Medicaid | NV |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5937-S | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1871933044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 N RAINBOW BLVD. 2042",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89108",
"telephone_number": "808-205-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 N RAINBOW BLVD APT 2042",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891085763",
"telephone_number": "808-205-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "SHANTHI",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "5937-S",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1135",
"state": "NV"
}
],
"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 Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.