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KATHLEEN RISDON LCSW, LADC
NPI 1174969380
Social Worker - Clinical in Las Vegas, NV

Active since May 14, 2013PECOS EnrolledAccepts Medicare Assignment
1640 ALTA DR, #4, LAS VEGAS, NV 89106(702) 474-6450(702) 474-6463 Get Directions Write a Review

NPPES record last updated: May 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Risdon Lcsw, Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN RISDON LCSW, LADC (NPI 1174969380) is an individual clinical provider in Las Vegas, Nevada, licensed in Nevada (00132-C) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1174969380
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN RISDONCredential: LCSW, LADC
Location Address1640 ALTA DR, #4Las Vegas, NV 89106-4163
Mailing Address1640 Alta Dr, #4Las Vegas, NV 89106-4163 · (702) 474-6450 · Fax (702) 474-6463
Phone(702) 474-6450
Fax(702) 474-6463
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateMay 14, 2013
✔ NPI 1174969380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NV · 00132-C
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 135-L (NV)
1640 ALTA DR, Las Vegas, NV 89106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Risdon Lcsw, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133344864
PECOS Enrollment IDI20140712000154
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.07 – $173.24
Typical copayment $0.00 (range $14.26 – $43.31)
Most-billed visit code NA
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YAMILEX PACHECO BA
Case Manager/Care Coordinator
1640 ALTA DR
LAS VEGAS, NV 89106
Clark County (702) 474-6450
SUSANA LOPEZ
Peer Specialist
1640 ALTA DR
LAS VEGAS, NV 89106
Clark County (702) 542-9144
STEVEN BURNELL HENDERSON
Counselor (Addiction (Substance Use Disorder))
1640 ALTA DR, SUITE 4
LAS VEGAS, NV 89106
Clark County (702) 474-6450
JANEL NMI MCLELLAN
Case Manager/Care Coordinator
1640 ALTA DR
LAS VEGAS, NV 89106
Clark County (702) 474-6450
MRS. EBONY S IGELEKE MFT-I, CADC-I
Marriage & Family Therapist
1640 ALTA DR, STE 4
LAS VEGAS, NV 89106
Clark County (702) 474-6450
MRS. CYNTHIA MOTA LMFT, CADC-P
Marriage & Family Therapist
1640 ALTA DR, SUITE 4
LAS VEGAS, NV 89106
Clark County (702) 474-6450
BRITTANY CORBITT
Marriage & Family Therapist
1640 ALTA DR
LAS VEGAS, NV 89106
Clark County (702) 824-6583
ROBERT HOWARD MEDDAUGH MS, MFT, LCADC, CPGC
Marriage & Family Therapist
1640 ALTA DR, #4
LAS VEGAS, NV 89106
Clark County (702) 474-6450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Risdon's NPI number?

The NPI number for Kathleen Risdon is 1174969380. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Kathleen Risdon located?

Kathleen Risdon practices at 1640 Alta Dr #4, Las Vegas, NV 89106. The listed phone number is (702) 474-6450.

What is Kathleen Risdon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathleen Risdon enrolled in Medicare?

Yes. Kathleen Risdon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Risdon accept?

Health plans from Providence Health Plan list Kathleen Risdon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Risdon was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.