Active NPI
Valerie Marie Duque, B.S. M.S.W. LCSW
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1497034276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7780-C
- Practice address
- 4180 S Pecos Rd
Las Vegas, NV 89121-5074 - Phone
- (702) 486-7503
- NPI assigned
- Aug 10, 2011
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Clinical Social Worker | 1041C0700X | 7780-C | NV | Primary |
Addresses
Primary practice location
4180 S Pecos Rd
Las Vegas, NV 89121-5074
Mailing address
2903 Tremont Ave
Henderson, NV 89052-4569
Phone (702) 688-2228
Other names 1
- Miss Valerie Marie Gradilla
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7780-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1497034276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2903 TREMONT AVE",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524569",
"telephone_number": "702-688-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4180 S PECOS RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215074",
"telephone_number": "702-486-7503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUQUE",
"first_name": "VALERIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "B.S. M.S.W. LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2021-05-21",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "7780-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VALERIE",
"last_name": "GRADILLA",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "B.S. M.S.W.",
"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 May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.