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

Virginia Bautista, LCSW

Individual provider Clinical Social Worker · NPI 1346673233

Virginia Bautista, LCSW is a Clinical Social Worker in Las Vegas, Nevada. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Idaho and Nevada.

Years since qualifying
3
Licensed in
ID, 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.

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Practice location Address checks out

6171 W Charleston Blvd
Las Vegas, NV 89146-0165
Phone: (775) 419-9902
Fax: (702) 924-0628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5580 E Flamingo Rd Suite 107, Las Vegas, NV 89103 — (702) 724-3438
  • 4220 S Maryland Pkwy, Las Vegas, NV 89119-7533 — (415) 424-4266

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12427-C (NV)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4571065 (ID)

Record details

NPI number1346673233
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 14, 2013
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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