Individual provider Active NPI

Yolanda Mary Vigil, LCSW

  • Clinical Social Worker
  • No. Las Vegas, NV
National Provider Identifier
1891867107
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5565-C Issued in NV
Practice address
Dept Veterans Affairs
6900 N. Pecos Rd.
No. Las Vegas, NV 89086
Phone
(702) 600-6552
NPI assigned
Nov 14, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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 5565-C NV Primary

Addresses

Primary practice location

Dept Veterans Affairs
6900 N. Pecos Rd.
No. Las Vegas, NV 89086

Mailing address

1923 Granemore St.
Las Vegas, NV 89135
Phone (702) 285-2513

Other names 1

  • Yolanda Mary Proulx-Vigil Former name

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
I20170220001857 NV Practitioner - Clinical Social Worker 6103109061 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5565-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC NV LLC Clinical CurrentSince Jan 15, 2017 Accepting new patients
Sound Mind Counseling Center, LLC Clinical CurrentSince Sep 1, 2024 Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

5580 W Flamingo Rd
Ste 107
Las Vegas, NV 89103
Phone (702) 724-3438

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1891867107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 GRANEMORE ST.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89135",
            "telephone_number": "702-285-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT VETERANS AFFAIRS",
            "address_2": "6900 N. PECOS RD.",
            "city": "NO. LAS VEGAS",
            "state": "NV",
            "postal_code": "89086",
            "telephone_number": "702-600-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "YOLANDA",
        "middle_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5565-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "PROULX-VIGIL",
            "middle_name": "MARY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in No. Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.