MRS. MARYSOL REZANOV LCSW
NPI 1003127499
Social Worker - Clinical in Las Vegas, NV

Q: What is Marysol Rezanov's NPI number?

The NPI number for Marysol Rezanov is 1003127499. It was assigned to this individual provider in the NPPES registry on June 30, 2010. The provider is also known as Marysol Amezcua Lcsw.

Q: What is Marysol Rezanov's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Marysol Rezanov was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2010PECOS Enrolled

4170 S DECATUR BLVD STE C1, LAS VEGAS, NV 89103(702) 659-8827(702) 852-0984 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2017, Nov 2, 2016 (2 updates tracked since 2016).

On this page

About Mrs. Marysol Rezanov Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARYSOL REZANOV LCSW (NPI 1003127499) is an individual clinical provider in Las Vegas, Nevada, licensed in Nevada (6215-C) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1003127499

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. MARYSOL REZANOVCredential: LCSW

Location Address4170 S DECATUR BLVD STE C1Las Vegas, NV 89103-5863

Mailing Address4170 S Decatur Blvd Ste C1Las Vegas, NV 89103-5863 · (702) 659-8827 · Fax (702) 852-0984

Phone(702) 659-8827

Fax(702) 852-0984

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateJune 30, 2010

Last NPPES UpdateOctober 16, 20172 updates tracked since enumeration

✔ NPI 1003127499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NV · 6215-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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4170 S DECATUR BLVD STE C1, Las Vegas, NV 89103

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Other Names 1

Former Name (1)Marysol Amezcua Lcsw

Other Identifiers 1

Other1598015240NV · Group Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marysol Rezanov Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911136056

PECOS Enrollment IDI20140212000729

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

191 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $57.07 – $173.24

Typical copayment $0.00 (range $14.26 – $43.31)

Most-billed visit code NA

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLENDA E CRUZ JUAREZ LCSW

Social Worker (Clinical)