Active NPI
Marissa Kate Cabral
- Social Worker
- Las Vegas, NV
National Provider Identifier
1366023293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7527-M
- Practice address
- 1785 E Sahara Ave Ste 160
Las Vegas, NV 89104-3759 - Phone
- (702) 252-8342
- Fax
- (702) 252-8349
- NPI assigned
- Apr 21, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7527-S | NV | |
| Social Worker | 104100000X | 7527-M | NV | Primary |
Addresses
Primary practice location
1785 E Sahara Ave Ste 160
Las Vegas, NV 89104-3759
Mailing address
1785 E Sahara Ave Ste 160
Las Vegas, NV 89104-3759
Phone (702) 252-8342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1802469358 | Medicaid | NV |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7527-M | NV | MD | Social Worker |
| 7527-S | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1366023293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1785 E SAHARA AVE STE 160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891043759",
"telephone_number": "702-252-8342",
"fax_number": "702-252-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1785 E SAHARA AVE STE 160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891043759",
"telephone_number": "702-252-8342",
"fax_number": "702-252-8349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRAL",
"first_name": "MARISSA",
"middle_name": "KATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "7527-S",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "7527-M",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1802469358",
"state": "NV"
}
],
"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 Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.