Individual provider Active NPI

Marie Danielle Sulit, LSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1689223562
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8487-S Issued in NV
Practice address
1240 W Owens Ave Ste 3
Las Vegas, NV 89106-2452
Phone
(702) 483-3100
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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 8487-S NV Primary

Addresses

Primary practice location

1240 W Owens Ave Ste 3
Las Vegas, NV 89106-2452

Mailing address

7154 S Bronco St
Las Vegas, NV 89118-4692
Phone (732) 343-1398

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

State licenses

LicenseStateTypeSpecialty
8487-SNVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1689223562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7154 S BRONCO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184692",
            "telephone_number": "732-343-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 W OWENS AVE STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062452",
            "telephone_number": "702-483-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULIT",
        "first_name": "MARIE DANIELLE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8487-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 4, 2019; 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.