Active NPI
Mautrice Burrell
- Clinical Social Worker
- North Las Vegas, NV
National Provider Identifier
1912308867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12099-M
- Practice address
- 4344 W Cheyenne Ave
North Las Vegas, NV 89032-2484 - Phone
- (702) 675-6314
- NPI assigned
- Sep 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT6077 | NV | |
| Clinical Social Worker | 1041C0700X | 12099-M | NV | Primary |
Addresses
Primary practice location
4344 W Cheyenne Ave
North Las Vegas, NV 89032-2484
Mailing address
4344 W Cheyenne Ave
North Las Vegas, NV 89032-2484
Phone (702) 675-6314
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12099-M | NV | MD | Clinical Social Worker |
| RBT6077 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1912308867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4344 W CHEYENNE AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890322484",
"telephone_number": "702-675-6314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4344 W CHEYENNE AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890322484",
"telephone_number": "702-675-6314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRELL",
"first_name": "MAUTRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-10",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT6077",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "12099-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North 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 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.