Individual provider Active NPI

Elizabeth Deyoung, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1942639273
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6568-C Issued in NV
Practice address
8565 S Eastern Ave Ste 140
Las Vegas, NV 89123-2906
Phone
(702) 239-7182
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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 6568-C NV Primary

Addresses

Primary practice location

8565 S Eastern Ave Ste 140
Las Vegas, NV 89123-2906

Mailing address

PO Box 232141
Las Vegas, NV 89105-2141
Phone (702) 239-7182

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
I20140129001399 NV Practitioner - Clinical Social Worker 3476782111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Life Counseling Deyoung LCSW PLLCGroup PAC ID 3072856814, 2 clinicians

Practice addresses (Care Compare)

8565 S Eastern Ave
Suite 140
Las Vegas, NV 89123-2906
Phone (702) 239-7182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6568-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Counseling Deyoung LCSW PLLC CurrentSince Jun 28, 2018 Accepting new patients

Locations

8565 S Eastern Ave
Ste 140
Las Vegas, NV 89123
Phone (702) 239-7182

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1942639273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232141",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891052141",
            "telephone_number": "702-239-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232906",
            "telephone_number": "702-239-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYOUNG",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6568-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.