Individual provider Active NPI

Katherine Bolanos, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1922724863
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12727-C Issued in NV
Practice address
2575 S Cimarron Rd Ste 104
Las Vegas, NV 89117-2682
Phone
(725) 712-4625
Fax
(725) 262-5536
NPI assigned
Oct 12, 2022
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 12727-C NV Primary

Addresses

Primary practice location

2575 S Cimarron Rd Ste 104
Las Vegas, NV 89117-2682

Mailing address

2575 S Cimarron Rd Ste 104
Las Vegas, NV 89117-2682
Phone (725) 712-4625

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
I20260604004466 NV Practitioner - Clinical Social Worker 5193296663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2575 S Cimarron Rd
Suite 104
Las Vegas, NV 89117-2682

8 The GRN
Dover, DE 19901-3618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Care LLC CurrentSince May 1, 2026 Accepting new patients

Locations

2575 S Cimarron Rd
Ste 104
Las Vegas, NV 89117
Phone (702) 476-2899

3620 N Rancho Dr
Ste 103104
Las Vegas, NV 89130
Phone (725) 712-4625

4344 W Cheyenne Ave
North Las Vegas, NV 89032
Phone (702) 675-6314

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, 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": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1922724863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 S CIMARRON RD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172682",
            "telephone_number": "725-712-4625",
            "fax_number": "725-262-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 S CIMARRON RD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172682",
            "telephone_number": "725-712-4625",
            "fax_number": "725-262-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS",
        "first_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12727-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.