Mario Adan Castelo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150.107457 Issued in IL

Practice address

4660 S Eastern Ave
200
Las Vegas, NV 89119-6137

Phone

(702) 451-7542

Fax

(702) 450-4239

NPI assigned

Oct 24, 2011

Last updated

Oct 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Marra PLLC

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  • NPI 1871185173
  NPD
• Emdr Urban Healing Center LLC

  • Counselor
  • Chicago, IL
  • NPI 1033719083

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1508142480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N GREEN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425996",
            "telephone_number": "312-620-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S EASTERN AVE",
            "address_2": "200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196137",
            "telephone_number": "702-451-7542",
            "fax_number": "702-450-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELO",
        "first_name": "MARIO",
        "middle_name": "ADAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.107457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daidilen Castellon
• Santa Amabel Castellon
• Stephanie Castellon
• Joan Castelluzzi Young
• Lilian Castellvi
• Janae N Caster
• Carlo Castiglione
• Mel Philip Mallorca Castilan, RN
• Alicia Castile
• Lauren Castilleja

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.