Individual provider Active NPI

Sadarie Smith

  • Social Worker
  • Las Vegas, NV
National Provider Identifier
1902284151
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7559-S Issued in NV
Practice address
2801 S Valley View Blvd Ste 6
Las Vegas, NV 89102-0166
Phone
(702) 922-7015
Fax
(702) 922-6600
NPI assigned
May 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 02260-I NV
Mental Health Counselor 101YM0800X
Social Worker 104100000X 7559-S NV Primary

Addresses

Primary practice location

2801 S Valley View Blvd Ste 6
Las Vegas, NV 89102-0166

Mailing address

5175 Jerry Tarkanian Way
Las Vegas, NV 89148-5163
Phone (702) 540-1202

Other practice location 1

7455 Arroyo Crossing Pkwy
Ste. 220
Las Vegas, NV 89113-4085
Phone (702) 761-6467

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

LicenseStateTypeSpecialty
02260-INVMDAddiction (Substance Use Disorder) Counselor
7559-SNVMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902284151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 JERRY TARKANIAN WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485163",
            "telephone_number": "702-540-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S VALLEY VIEW BLVD STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020166",
            "telephone_number": "702-922-7015",
            "fax_number": "702-922-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7455 Arroyo Crossing Pkwy",
            "address_2": "Ste. 220",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891134085",
            "country_code": "US",
            "telephone_number": "702-761-6467",
            "fax_number": "702-761-6401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SADARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "02260-I",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "7559-S",
            "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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.