Marysol Rezanov, LCSW
NPI 1003127499ActiveIndividual· Social Worker, Clinical· Las Vegas, NV
Social Worker, Clinical (LCSW) with Nueva Vida Mental Health LLC, practicing in Las Vegas, Nevada. Medicare paid $17,587 for services to 17 patients in 2024.
Overview
| NPI | 1003127499 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Jun 30, 2010 |
| Last updated in NPPES | Oct 16, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6215-C | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 202 across 3 procedure codes |
| Paid by Medicare | $17,587 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Nueva Vida Mental Health LLCLas Vegas, NV · 2 clinicians
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