Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Marlon Leon Blanks, LICENSECLINICALSOC

Individual provider Clinical Social Worker · NPI 1629139696

Mr. Marlon Leon Blanks, LICENSECLINICALSOC is a Clinical Social Worker in Las Vegas, Nevada. Qualified in 2008, 18 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
18
Licensed in
NV
In the registry since
2006
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Practice location Address checks out

6655 W Sahara Ave Ste A112
Las Vegas, NV 89146-2805
Phone: (702) 462-1813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7112-C (NV)

Record details

NPI number1629139696
Entity typeIndividual (Type 1)
GenderMale
Credentials LICENSECLINICALSOC
Sole proprietorYes
NPI enumeratedDecember 13, 2006
Last updated in NPPESDecember 11, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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