Individual provider Active NPI

Shirley Marie Savage-Hampton, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1962056093
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12065-C Issued in NV
Practice address
6225 W Haleh Ave
Las Vegas, NV 89141-8519
Phone
(702) 860-6150
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 12065-C NV Primary

Addresses

Primary practice location

6225 W Haleh Ave
Las Vegas, NV 89141-8519

Mailing address

6225 W Haleh Ave
Las Vegas, NV 89141-8519
Phone (702) 860-6150

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL .net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12065-CNVMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1962056093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 W HALEH AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418519",
            "telephone_number": "702-860-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 W HALEH AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418519",
            "telephone_number": "702-860-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE-HAMPTON",
        "first_name": "SHIRLEY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12065-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": ".net",
            "affiliation": "N",
            "address_1": "6225 W Haleh Ave # 89141",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891418519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.