Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carlos Ruben Cisneros, LCSW

Individual provider Clinical Social Worker · NPI 1417563362

Carlos Ruben Cisneros, LCSW is a Clinical Social Worker in Las Vegas, Nevada. Qualified in 2020, 6 years ago. Practices with Angeles Medical Center LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
6
Licensed in
NV
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6396 McLeod Dr Ste 10
Las Vegas, NV 89120-4429
Phone: (702) 518-6244
Fax: (702) 374-0233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10518-C (NV)

Record details

NPI number1417563362
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 16, 2020
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Angeles Medical Center Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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