TIANNA C PENA (LCSW) – Clinical Social Worker, NPI 1316243504

TIANNA C PENA (LCSW) is a healthcare provider. based in Las vegas, Nevada. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 5927-S (NV). The NPI Number for TIANNA C PENA (LCSW) is 1316243504

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
TIANNA C PENA (LCSW)
NPI
1316243504
Phone
(702) 998-2816
Address
8936 SPANISH RIDGE AVE
Enumeration Date
4 February 2011
Last Update Date
6 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
8729303201
Group Practice PAC ID
7416126362
Professional Enrollment ID
I20150203002215
Address ID
NV891693312LA3343XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

548 CLINICAL SOCIAL WORKER in NV

Provider Addresses for TIANNA C PENA (LCSW)

  • 8936 SPANISH RIDGE AVE

    LAS VEGAS, NV 891481354

    Phone: (702) 998-2816

    Fax: (702) 998-2991

    Type: Mailing

  • 400 SHADOW LN STE 106

    LAS VEGAS, NV 891064355

    Phone: (702) 731-0909

    Fax: (702) 826-4757

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150203002215IClinical Social WorkerNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89148)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416126362View full group profile
NameSpecialtyState
Clinical Social WorkerNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
P S Y C H I A T R YNV
P S Y C H I A T R YNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Clinical Social WorkerNV

Reviews

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Frequently asked questions

What is the standard ID for TIANNA C PENA (LCSW) in the U.S.?
In the U.S., TIANNA C PENA (LCSW) is identified by NPI 1316243504.
Quick check: is TIANNA C PENA (LCSW) active?
Public NPPES data shows TIANNA C PENA (LCSW) with an active NPI status right now.
Which specialty label fits TIANNA C PENA (LCSW)?
NPPES ties TIANNA C PENA (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TIANNA C PENA (LCSW)?
TIANNA C PENA (LCSW) is associated with Las Vegas, Nevada in the same public data insurers reference.
Can I export TIANNA C PENA (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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