Individual provider Active NPI

Sara Martinez Bueno, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1396453742
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11955-C Issued in NV
Practice address
4170 S Decatur Blvd Ste C1
Las Vegas, NV 89103-5863
Phone
(702) 659-8827
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11955-C NV Primary
Clinical Social Worker 1041C0700X IC-2078 NV

Addresses

Primary practice location

4170 S Decatur Blvd Ste C1
Las Vegas, NV 89103-5863

Mailing address

4170 S Decatur Blvd Ste C1
Las Vegas, NV 89103-5863
Phone (702) 659-8827

Other practice location 1

4580 S Eastern Ave Ste 33
Las Vegas, NV 89119-6100
Phone (702) 829-7848

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205002322 NV Practitioner - Clinical Social Worker 6103295696 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11955-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bueno Mental Health LLC Current Accepting new patients
Nueva Vida Mental Health LLC Clinical CurrentSince Sep 3, 2025 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince Sep 3, 2025 Accepting new patients

Locations

4170 S Decatur Blvd
Ste C1
Las Vegas, NV 89103
Phone (702) 659-8827

Organizations & group practices 3

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": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1396453742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 S DECATUR BLVD STE C1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035863",
            "telephone_number": "702-659-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 S DECATUR BLVD STE C1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035863",
            "telephone_number": "702-659-8827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4580 S Eastern Ave Ste 33",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891196100",
            "country_code": "US",
            "telephone_number": "702-829-7848",
            "fax_number": "702-859-4750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ BUENO",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11955-C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-2078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.