Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Risdon, LCSW, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174969380

Kathleen Risdon, LCSW, LADC is a Clinical Social Worker in Las Vegas, Nevada. Qualified in 1979, 47 years ago. Accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
47
Licensed in
NV
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1640 Alta Dr #4
Las Vegas, NV 89106-4163
Phone: (702) 474-6450
Fax: (702) 474-6463
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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 00132-C (NV)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 135-L (NV)

Record details

NPI number1174969380
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LADC
Sole proprietorNo
NPI enumeratedMay 14, 2013
Last updated in NPPESMay 14, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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