Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Marysol Rezanov, LCSW

Individual provider Clinical Social Worker · NPI 1003127499

Mrs. Marysol Rezanov, LCSW is a Clinical Social Worker in Las Vegas, Nevada. Qualified in 2008, 18 years ago. Practices with Nueva Vida Mental Health LLC, a 2-clinician group. Licensed in Nevada.

Years since qualifying
18
Licensed in
NV
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4170 S Decatur Blvd Ste C1
Las Vegas, NV 89103-5863
Phone: (702) 659-8827
Fax: (702) 852-0984
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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 6215-C (NV)

Record details

NPI number1003127499
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 30, 2010
Last updated in NPPESOctober 16, 2017

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)
Group practice Nueva Vida Mental Health Llc — 2 clinicians
Accepts Medicare assignment Not indicated

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