Individual provider Active NPI

Mariel Ann Malimban, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1851742829
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8047-C Issued in NV
Practice address
7318 W Post Rd Ste 211
Las Vegas, NV 89113-6646
Phone
(702) 690-9163
Fax
(702) 331-2370
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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 68042 CA
Clinical Social Worker 1041C0700X 8047-C NV Primary

Addresses

Primary practice location

7318 W Post Rd Ste 211
Las Vegas, NV 89113-6646

Mailing address

7318 W Post Rd Ste 211
Las Vegas, NV 89113-6646
Phone (702) 690-9163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7318 W Post Rd
Suite 211
Las Vegas, NV 89113-6646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1851742829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 W POST RD STE 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136646",
            "telephone_number": "702-690-9163",
            "fax_number": "702-331-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 W POST RD STE 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136646",
            "telephone_number": "702-690-9163",
            "fax_number": "702-331-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIMBAN",
        "first_name": "MARIEL ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "68042",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8047-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.