Individual provider Active NPI

Michelle Luszczewski, LCSW, LCADC

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1952075483
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11345-C Issued in NV
Practice address
552 E Charleston Blvd
Las Vegas, NV 89104-1319
Phone
(702) 440-8440
NPI assigned
Aug 7, 2021
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 07695-LC NV
Clinical Social Worker 1041C0700X 11345-C NV Primary

Addresses

Primary practice location

552 E Charleston Blvd
Las Vegas, NV 89104-1319

Mailing address

2540 Sable Creek St
Henderson, NV 89044-1619
Phone (708) 275-3286

Other practice location 1

3321 N Buffalo Dr Ste 125
Las Vegas, NV 89129-6678
Phone (702) 880-8230

Other practice location 2

6108 W Charleston Blvd
Las Vegas, NV 89146-1127
Phone (702) 985-4627

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
I20250508002463 NV Practitioner - Clinical Social Worker 1850818238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07695-LCNVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Counseling Associates, Inc CurrentSince Apr 1, 2025 Accepting new patients
Bridge Counseling Associates, Inc CurrentSince Apr 1, 2025 Accepting new patients
Lisa a Durette MD PLLC Addiction (Substance Use Disorder) PastSince Apr 28, 2024 Accepting new patients
Lisa a Durette MD PLLC Clinical PastSince Apr 28, 2024 Accepting new patients

Locations

1640 Alta Dr
Ste 4
Las Vegas, NV 89106
Phone (702) 474-6450

4221 McLeod Dr
Las Vegas, NV 89121
Phone (702) 474-6450

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f9a6475a-3dbd-47b2-979a-55064cfdbd51/

Organizations & group practices 4

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": "1628294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1952075483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 SABLE CREEK ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441619",
            "telephone_number": "708-275-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041319",
            "telephone_number": "702-440-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3321 N Buffalo Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891296678",
            "country_code": "US",
            "telephone_number": "702-880-8230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6108 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891461127",
            "country_code": "US",
            "telephone_number": "702-985-4627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSZCZEWSKI",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-07",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "07695-LC",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11345-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.