Individual provider Active NPI

Rachel Johnson, MSW, LCSW

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1992152359
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9320-C Issued in NV
Practice address
3131 W Craig Rd Ste 180
North Las Vegas, NV 89032-0861
Phone
(702) 586-5999
Fax
(702) 586-5991
NPI assigned
May 16, 2016
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 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 8016-S NV
Clinical Social Worker 1041C0700X 9320-C NV Primary

Addresses

Primary practice location

3131 W Craig Rd Ste 180
North Las Vegas, NV 89032-0861

Mailing address

400 Shadow LN
Ste 105
Las Vegas, NV 89106-4355
Phone (702) 358-1570

Other practice location 1

4221 McLeod Dr
Las Vegas, NV 89121-5215
Phone (702) 474-6450

Other practice location 2

1640 Alta Dr
Ste 4
Las Vegas, NV 89106-4165
Phone (702) 754-0807

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivating Connected Living, LLC Current Accepting new patients

Locations

2655 S Rainbow Blvd
Ste 110
Las Vegas, NV 89146
Phone (702) 353-5417

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1992152359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHADOW LN",
            "address_2": "STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064355",
            "telephone_number": "702-358-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 W CRAIG RD STE 180",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320861",
            "telephone_number": "702-586-5999",
            "fax_number": "702-586-5991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4221 McLeod Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891215215",
            "country_code": "US",
            "telephone_number": "702-474-6450",
            "fax_number": "702-474-6463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1640 ALTA DR",
            "address_2": "STE 4",
            "address_purpose": "LOCATION",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064165",
            "country_code": "US",
            "telephone_number": "702-754-0807",
            "fax_number": "702-754-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "8016-S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9320-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.