Provider Demographics
NPI:1649548645
Name:MARLON, DIANNE S (LCSW)
Entity type:Individual
Prefix:MS
First Name:DIANNE
Middle Name:S
Last Name:MARLON
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 CASA VISTA DR.
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-2985
Mailing Address - Country:US
Mailing Address - Phone:702-533-7324
Mailing Address - Fax:702-876-0919
Practice Address - Street 1:2780 S JONES BLVD # I-210
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5628
Practice Address - Country:US
Practice Address - Phone:702-533-7324
Practice Address - Fax:702-876-0919
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6166-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical