Organization Active NPI

Marilyn Lamascus, LCSW, LLC

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1174700736
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3074-C Issued in NV
Legal business name
MARILYN LAMASCUS, LCSW, LLC
Practice address
2441 Tech Center CT
Suite108
Las Vegas, NV 89128-0804
Phone
(702) 629-6351
Fax
(702) 629-6367
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Marilyn Lamascus, LCSW
Title
Executive Director
Phone
(702) 629-6351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3074-C NV Primary

Addresses

Primary practice location

2441 Tech Center CT
Suite108
Las Vegas, NV 89128-0804

Mailing address

2441 Tech Center CT
Suite108
Las Vegas, NV 89128-0804
Phone (702) 629-6351

Other identifiers 3

IdentifierTypeStateIssuer
1174700736OtherNVGROUP NPI
11703712OtherNVCAQH ID#
412714OtherNVMHN

Other names 1

  • Providence Behavioral Health Services, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2441 Tech Center Ct
Ste 108
Las Vegas, NV 89128
Phone (702) 332-3805

2441 Tech Center Ct
#108
Las Vegas, NV 89128
Phone (702) 629-6351

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1174700736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 TECH CENTER CT",
            "address_2": "SUITE108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280804",
            "telephone_number": "702-629-6351",
            "fax_number": "702-629-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 TECH CENTER CT",
            "address_2": "SUITE108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280804",
            "telephone_number": "702-629-6351",
            "fax_number": "702-629-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN LAMASCUS, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "LAMASCUS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-629-6351",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "3074-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1174700736",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID#",
            "identifier": "11703712",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "412714",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Behavioral Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.