Individual provider Active NPI

Darra Marcus, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1083351985
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11562-C Issued in NV
Practice address
8880 W Sunset Rd Ste 200
Las Vegas, NV 89148-5014
Phone
(702) 805-5360
Fax
(702) 977-9488
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11562-C NV Primary

Addresses

Primary practice location

8880 W Sunset Rd Ste 200
Las Vegas, NV 89148-5014

Mailing address

8880 W Sunset Rd Ste 200
Las Vegas, NV 89148-5014
Phone (702) 805-5360

Other practice location 1

660 S Green Valley Pkwy # 140-150
Henderson, NV 89052-0430
Phone (702) 240-8639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204002367 NV Practitioner - Clinical Social Worker 9436685203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11562-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Oct 26, 2024 Accepting new patients
Psychology Specialists LTD PastSince Jan 29, 2023 Accepting new patients

Locations

8880 W Sunset Rd
Ste 200
Las Vegas, NV 89148
Phone (480) 581-1998

Interoperability endpoints

  • Direct secure messaging: foundationscounseling.darramarcus@153695.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1083351985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 W SUNSET RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485014",
            "telephone_number": "702-805-5360",
            "fax_number": "702-977-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 W SUNSET RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485014",
            "telephone_number": "702-805-5360",
            "fax_number": "702-977-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 S Green Valley Pkwy # 140-150",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890520430",
            "country_code": "US",
            "telephone_number": "702-240-8639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "DARRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11562-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.