Individual provider Active NPI

Vanessa Ann Quiming Martinez

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1780183061
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9952-M Issued in NV
Practice address
2320 Paseo del Prado Ste B208
Las Vegas, NV 89102-4332
Phone
(702) 685-0877
Fax
(702) 749-5922
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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 9952-M NV Primary

Addresses

Primary practice location

2320 Paseo del Prado Ste B208
Las Vegas, NV 89102-4332

Mailing address

1778 Blue Ribbon Dr
Las Vegas, NV 89142-0737
Phone (702) 472-2848

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
9952-MNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Therapy Solutions LLC Clinical CurrentSince Mar 31, 2024 Accepting new patients
Insight Medical Clinicians PA Clinical CurrentSince Jan 1, 2025 Accepting new patients
Victory Alliance LLC Clinical PastSince Feb 15, 2018 Accepting new patients

Locations

2320 Paseo del Prado
Ste B208
Las Vegas, NV 89102

4760 S Pecos Rd
Ste 103
Las Vegas, NV 89121
Phone (702) 369-9706

Organizations & group practices 3

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1780183061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 BLUE RIBBON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891420737",
            "telephone_number": "702-472-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 PASEO DEL PRADO STE B208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024332",
            "telephone_number": "702-685-0877",
            "fax_number": "702-749-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "VANESSA ANN",
        "middle_name": "QUIMING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9952-M",
            "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 Mar 26, 2024; 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.