Active NPI
Katherine Bolanos, LCSW
- Clinical Social Worker
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12727-C
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Care LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.