Individual provider Active NPI

Dianne S Marlon, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1649548645
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6166-C Issued in NV
Practice address
2780 S Jones Blvd # I-210
Las Vegas, NV 89146-5628
Phone
(702) 533-7324
Fax
(702) 876-0919
NPI assigned
Dec 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6166-C NV Primary

Addresses

Primary practice location

2780 S Jones Blvd # I-210
Las Vegas, NV 89146-5628

Mailing address

2016 Casa Vista Dr.
Las Vegas, NV 89146-2985
Phone (702) 533-7324

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
I20120910000325 NV Practitioner - Clinical Social Worker 2961650361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Nevada School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2975 S Rainbow Blvd
Suite K
Las Vegas, NV 89146-6597
Phone (702) 533-7324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6166-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dianne S Marlon LTD Clinical CurrentSince Jul 7, 2012 Accepting new patients

Locations

2975 S Rainbow Blvd
Ste K
Las Vegas, NV 89146
Phone (702) 533-7324

2975 S Rainbow Blvd
Ste J
Las Vegas, NV 89146
Phone (702) 228-8520

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1649548645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 CASA VISTA DR.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462985",
            "telephone_number": "702-533-7324",
            "fax_number": "702-876-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD # I-210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465628",
            "telephone_number": "702-533-7324",
            "fax_number": "702-876-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLON",
        "first_name": "DIANNE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6166-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.