Individual provider Active NPI

Brad Singletary, LCSW

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1912117672
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5234-C Issued in NV
Practice address
2298 W Horizon Ridge Pkwy
Suite 201
Henderson, NV 89052-2696
Phone
(702) 363-7284
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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 5234-C NV Primary

Addresses

Primary practice location

2298 W Horizon Ridge Pkwy
Suite 201
Henderson, NV 89052-2696

Mailing address

2298 W Horizon Ridge Pkwy
Suite 201
Henderson, NV 89052-2696
Phone (702) 363-7284

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5234-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evolved Worldwide, LLC CurrentSince Jun 22, 2021 Accepting new patients

Locations

1070 W Horizon Ridge Pkwy
Ste 204
Henderson, NV 89012
Phone (702) 323-4634

Organizations & group practices 1

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1912117672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522696",
            "telephone_number": "702-363-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522696",
            "telephone_number": "702-363-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETARY",
        "first_name": "BRAD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5234-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.