Individual provider Active NPI

Maria Mercedes Sannia Farina, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1710427356
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8339-C Issued in NV
Practice address
2255 Renaissance Dr Ste a
Las Vegas, NV 89119-6194
Phone
(702) 471-0420
Fax
(702) 450-4239
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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 7366S NV
Clinical Social Worker 1041C0700X 8339-C NV Primary

Addresses

Primary practice location

2255 Renaissance Dr Ste a
Las Vegas, NV 89119-6194

Mailing address

2255 Renaissance Dr Ste a
Las Vegas, NV 89119-6194
Phone (702) 471-0420

Other names 1

  • Maria Mercedes Perona Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.silverstatehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7366SNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Bilingual Services, Inc. Clinical CurrentSince Sep 25, 2019 Accepting new patients

Locations

2255 Renaissance Dr
Ste A
Las Vegas, NV 89119
Phone (702) 471-0420

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1710427356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 RENAISSANCE DR STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196194",
            "telephone_number": "702-471-0420",
            "fax_number": "702-450-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 RENAISSANCE DR STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196194",
            "telephone_number": "702-471-0420",
            "fax_number": "702-450-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNIA FARINA",
        "first_name": "MARIA",
        "middle_name": "MERCEDES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7366S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8339-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.silverstatehealth.org",
            "affiliation": "N",
            "address_1": "2255 Renaissance Dr Ste A",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891196194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "PERONA",
            "middle_name": "MERCEDES",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.