58 10 Behavioral Health Services PLLC
NPI 1780217679ActiveOrganization· Social Worker, Clinical· Las Vegas, NV
Social Worker, Clinical in Las Vegas, Nevada, registered in NPPES in February 2020. The authorized official on file is Alvin Kenon, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780217679 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2020 |
| Last updated in NPPES | Feb 19, 2020 |
| Certified by provider | Feb 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
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