Active NPI
Rachel Maravilla
- Social Worker
- Las Vegas, NV
National Provider Identifier
1205697950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12435-M
- Practice address
- 3551 E Bonanza Rd Ste 101
Las Vegas, NV 89110-2198 - Phone
- (702) 608-1488
- NPI assigned
- Jan 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12435-M | NV | Primary |
Addresses
Primary practice location
3551 E Bonanza Rd Ste 101
Las Vegas, NV 89110-2198
Mailing address
3551 E Bonanza Rd
Las Vegas, NV 89110-0055
Phone (702) 608-1488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12435-M | NV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1205697950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 E BONANZA RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891100055",
"telephone_number": "702-608-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 E BONANZA RD STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891102198",
"telephone_number": "702-608-1488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARAVILLA",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-19",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "12435-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.