NPI 1649029794 · live from the CMS NPI Registry
1st Clark County Medical Clinic LLC
Social Worker, Clinical in Hawthorne, NV. National Provider Identifier 1649029794, active.
NPI record
| NPI | 1649029794 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1085 Hwy 95 Ste E, Hawthorne, NV 89415 |
| Practice phone | 702-485-3450 |
| Enumerated | May 13, 2024 |
| Last updated | March 3, 2026 |
| Authorized official | Grezilda Mae Cabo, Managing Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.