Individual provider Active NPI

Joan Israel, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1891714697
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00120-C Issued in NV
Practice address
7200 Cathedral Rock Dr
Suite 120
Las Vegas, NV 89128-0438
Phone
(702) 804-6686
Fax
(702) 341-9587
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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 00120-C NV Primary

Addresses

Primary practice location

7200 Cathedral Rock Dr
Suite 120
Las Vegas, NV 89128-0438

Mailing address

7200 Cathedral Rock Dr
Suite 120
Las Vegas, NV 89128-0438
Phone (702) 804-6686

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
I20051020000252 NV Practitioner - Clinical Social Worker 2668498569 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7200 Cathedral Rock Dr
Las Vegas, NV 89128-0439
Phone (702) 804-6686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00120-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity One Behavioral Health Care, LLC. CurrentSince Feb 12, 2020 Accepting new patients
Patricia Ann Brassfield PHD LTD PastSince Aug 4, 2010 Accepting new patients

Locations

2801 S Valley View Blvd
Ste 11
Las Vegas, NV 89102
Phone (702) 202-0978

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1891714697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CATHEDRAL ROCK DR",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280438",
            "telephone_number": "702-804-6686",
            "fax_number": "702-341-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CATHEDRAL ROCK DR",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280438",
            "telephone_number": "702-804-6686",
            "fax_number": "702-341-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "JOAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "00120-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.