Organization · Type 2 NPI

Optum Behavioral Care Therapy Services of Illinois PC

Clinical Social Worker · Las Vegas, NV

NPI number 1477433183 Active

Practice location

2720 N Tenaya Way
Las Vegas, NV 89128-0424

Mailing address

1 Optum Cir
Eden Prairie, MN 55344-2956

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1477433183

Optum Behavioral Care Therapy Services of Illinois PC's National Provider Identifier is 1477433183, issued on Sep 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 2, 2026.