Active NPI
Maria Esmeralda Otame, LCSW
- Clinical Social Worker
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7601-C
- Practice address
- 5100 W Sahara Ave
Las Vegas, NV 89146-3406 - Phone
- (702) 799-2273
- NPI assigned
- Jan 10, 2014
- Last updated
- Feb 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-09919 | NM | |
| Clinical Social Worker | 1041C0700X | 7601-C | NV | Primary |
Addresses
Primary practice location
5100 W Sahara Ave
Las Vegas, NV 89146-3406
Mailing address
P.O. Drawer 70
Anthony, NM 88047-0070
Phone (575) 882-6101
Other practice location 1
2965 S Jones Blvd Ste C
Las Vegas, NV 89146-5606
Phone (702) 471-0420
Other practice location 2
1301 West Washington Street
Anthony, NM 88021-8846
Phone (575) 882-6101
Other practice location 3
6402 McLeod Dr Ste 5
Las Vegas, NV 89120-4406
Phone (725) 204-8809
Other names 1
- Maria Esmeralda Reyes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-09919 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fuente de Vida Mental Health Services | Clinical | Current | Accepting new patients |
Locations
2545 Chandler Ave
Ste 7
Las Vegas, NV 89120
Phone (702) 544-1638
6402 McLeod Dr
Ste 5
Las Vegas, NV 89120
Phone (702) 898-5311
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1316538465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1215359278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. DRAWER 70",
"city": "ANTHONY",
"state": "NM",
"postal_code": "880470070",
"telephone_number": "575-882-6101",
"fax_number": "575-882-6926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W SAHARA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463406",
"telephone_number": "702-799-2273"
}
],
"practiceLocations": [
{
"address_1": "2965 S Jones Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891465606",
"country_code": "US",
"telephone_number": "702-471-0420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 West Washington Street",
"address_purpose": "LOCATION",
"city": "Anthony",
"state": "NM",
"postal_code": "880218846",
"country_code": "US",
"telephone_number": "575-882-6101",
"fax_number": "575-882-6926",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6402 McLeod Dr Ste 5",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891204406",
"country_code": "US",
"telephone_number": "725-204-8809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTAME",
"first_name": "MARIA",
"middle_name": "ESMERALDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-10",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-09919",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "7601-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "REYES",
"middle_name": "ESMERALDA",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.