Individual provider Active NPI

Gideon Alberto Agaton Jr., MSW, LSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1932502069
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9130-S Issued in NV
Practice address
2980 S. Rainbow Ste #210C
Las Vegas, NV 89146
Phone
(702) 673-7462
Fax
(702) 442-8900
NPI assigned
Oct 3, 2014
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NV
Clinical Social Worker 1041C0700X 9130-S NV Primary

Addresses

Primary practice location

2980 S. Rainbow Ste #210C
Las Vegas, NV 89146

Mailing address

2980 S Rainbow Blvd Ste 210C
Las Vegas, NV 89146-6531
Phone (702) 673-7462

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
I20250404000652 NV Practitioner - Clinical Social Worker 5092239699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Frame of Mind Clinic LLCGroup PAC ID 9436695640, 3 clinicians

Practice addresses (Care Compare)

3663 E Sunset Rd
Suite 104C
Las Vegas, NV 89120-3218

6540 S Pecos Rd
Las Vegas, NV 89120-2819
Phone (725) 726-8216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9130-SNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Frame of Mind Clinic LLC CurrentSince Apr 1, 2025 Accepting new patients
Golden Touch Behavioral Care Center Prof Corp CurrentSince Jun 1, 2025 Accepting new patients

Locations

2225 E Flamingo Rd
Ste 100
Las Vegas, NV 89119
Phone (702) 493-8733

6540 S Pecos Rd
Ste 103A
Las Vegas, NV 89120
Phone (725) 726-8216

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": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1932502069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 S RAINBOW BLVD STE 210C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466531",
            "telephone_number": "702-673-7462",
            "fax_number": "702-442-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 S. RAINBOW STE #210C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-673-7462",
            "fax_number": "702-442-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGATON",
        "first_name": "GIDEON",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-03",
        "last_updated": "2021-03-01",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9130-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.