MEDICARE: MR. MARLON LEON BLANKS LICENSE CLINICAL SOC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	7112-C	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1629139696	OTHER	NV	TRICARE WEST
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629139696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARLON LEON BLANKS LICENSE CLINICAL SOC

Provider Business Mailing Address
First Line	:	6655 W SAHARA AVE A112
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146
Country	:	US
Telephone Number	:	702-462-1813
Fax Number	:

Provider Business Practice Location Address
First Line	:	6655 W SAHARA AVE STE A112
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-2805
Country	:	US
Telephone Number	:	702-462-1813
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	12/11/2018

Similar Medicare Providers

1588920110 — MISS RASALIE AYODHA PERERA
Practice Location Address:

6655 W SAHARA AVE STE A110
LAS VEGAS, NV
89146-2805

Practice Phone: 702-365-0600
Practice Fax:

1487016887 — WALKBYFAITH LLC
Practice Location Address:

6655 W SAHARA AVE STE A112
LAS VEGAS, NV
89146-2805

Practice Phone: 702-462-1813
Practice Fax:

1386596971 — HANDS THAT HELP WELLNESS CENTER, LLC
Practice Location Address:

408 VILLA ESPANA WAY
NORTH LAS VEGAS, NV
89031-2805

Practice Phone: 702-972-7847
Practice Fax:

1215995881 — DR. SINH H TRINH DDS
Practice Location Address:

2805 CENTENNIAL PKWY SUIT 105
NORTH LAS VEGAS, NV
89031

Practice Phone: 714-468-3476
Practice Fax:

1275548240 — WALGREEN CO
Practice Location Address:

451 S DECATUR BLVD
LAS VEGAS, NV
89107-2805

Practice Phone: 702-870-1626
Practice Fax:

1750561551 — MR. EYTAN S SALINGER LCSW
Practice Location Address:

2805 LAS VEGAS CT , SUITE B
LAS CRUCES, NM
88007-4108

Practice Phone: 575-522-5144
Practice Fax: 575-522-5177

Directions to “ MR. MARLON LEON BLANKS LICENSE CLINICAL SOC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.