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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: September 06, 2026.

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

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
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Medicare Participation & PECOS CMS

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

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.

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)
2575 S CIMARRON RD STE 104
LAS VEGAS, NV 89117
Clark County (725) 712-4625
SONIA WYATT
Behavior Analyst
2575 S CIMARRON RD STE 104
LAS VEGAS, NV 89117
Clark County (702) 476-2899
HILL CARE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2575 S CIMARRON RD STE 104
LAS VEGAS, NV 89117
Clark County (725) 712-4625
A NOVO CARE
Home Health
2575 S CIMARRON RD STE 104
LAS VEGAS, NV 89117
Clark County (702) 476-2899
HILL CARE LLC
Family Medicine
2575 S CIMARRON RD STE 104
LAS VEGAS, NV 89117
Clark County (725) 712-4625

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 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.

Where is Katherine Bolanos located?

Katherine Bolanos practices at 2575 S Cimarron Rd Ste 104, Las Vegas, NV 89117. The listed phone number is (725) 712-4625.

What is Katherine Bolanos's specialty?

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

Is Katherine Bolanos enrolled in Medicare?

Yes. Katherine Bolanos is registered in the Medicare PECOS enrollment system.

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 23 days 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.