KATHERINE BOLANOS LCSW
NPI 1922724863
Social Worker - Clinical in Las Vegas, NV

Q: What is Katherine Bolanos's NPI number?

The NPI number for Katherine Bolanos is 1922724863. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Q: What is Katherine Bolanos's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katherine Bolanos was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since October 12, 2022PECOS Enrolled

2575 S CIMARRON RD STE 104, LAS VEGAS, NV 89117(725) 712-4625(725) 262-5536 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2026, Aug 11, 2026, Dec 22, 2022 and 1 more (4 updates tracked since 2022).

On this page

About Katherine Bolanos Lcsw NPPES

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

KATHERINE BOLANOS LCSW (NPI 1922724863) is an individual clinical provider in Las Vegas, Nevada, licensed in Nevada (12727-C) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1922724863

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATHERINE BOLANOSCredential: LCSW

Location Address2575 S CIMARRON RD STE 104Las Vegas, NV 89117-2682

Mailing Address2575 S Cimarron Rd Ste 104Las Vegas, NV 89117-2682 · (725) 712-4625 · Fax (725) 262-5536

Phone(725) 712-4625

Fax(725) 262-5536

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 12, 2022

Last NPPES UpdateAugust 19, 20264 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1922724863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NV · 12727-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.

2575 S CIMARRON RD STE 104, Las Vegas, NV 89117

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Bolanos Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193296663

PECOS Enrollment IDI20260604004466

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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Bolanos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hill Care LLC

Same address

Family Medicine

2575 S CIMARRON RD STE 104
Las Vegas, NV 89117

Reassigned Medicare billing, Nevada enrollment
6 clinicians in this Medicare group

NPI 1871291872 (725) 712-4625

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89117 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 5

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

MRS. EBONY SHANDREKA PETERSON FNP-BC, PMHNP-BC

Nurse Practitioner (Family)