Marlon Leon Blanks in Las Vegas - Clinical

Marlon Leon Blanks - NPI 1629139696

Marlon Leon Blanks is a Clinical in Las Vegas, Nevada. Marlon Leon Blanks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marlon Leon Blanks is 1629139696. The last update date is 2018-12-11.

Marlon Leon Blanks's current location address is 6655 W Sahara Ave A112, Las Vegas, Nevada. You can contact this provider via phone number 7024621813. The mailing address for Marlon Leon Blanks is 6655 W Sahara Ave A112, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Marlon Leon Blanks
Address 6655 W Sahara Ave A112, Las Vegas, Nevada
Phone Number 7024621813
Fax Number
Sole Proprietor Y
Credentials LICENSE CL

NPI Number Detail

NPI Number 1629139696
Provider Enumeration Date 2006-12-13
Last Updated Date 2018-12-11

Provider Mailing Address Detail

Address 6655 W Sahara Ave A112
City Las Vegas
State Nevada (NV)
Post Code 89146
Phone Number 7024621813
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 7112-C
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1629139696 NV TRICARE WEST
1629139696 NV --

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FAQs about Marlon Leon Blanks

What is the unique identification code assigned to Marlon Leon Blanks by the Centers for Medicare & Medicaid Services?

The Marlon Leon Blanks has been issued the NPI (National Provider Identifier) 1629139696. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Marlon Leon Blanks is located?

The Marlon Leon Blanks is situated at the following address: 6655 W Sahara Ave A112, Las Vegas, NV, 89146.

What is Marlon Leon Blanks's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Marlon Leon Blanks is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Marlon Leon Blanks receive its 1629139696 assignment from the Centers for Medicare & Medicaid Services?

The Marlon Leon Blanks was assigned its 1629139696 by the Centers for Medicare & Medicaid Services on 2006-12-13.

As of what date was the information regarding Marlon Leon Blanks, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Marlon Leon Blanks, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-12-11.

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