Individual provider Active NPI

Jacqueline A Volkmann, LCSW

  • Clinical Social Worker
  • Elko, NV
National Provider Identifier
1023178399
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4514-C Issued in NV
Practice address
1825 Pinion Rd
Elko, NV 89801-8318
Phone
(775) 738-8021
Fax
(775) 738-8842
NPI assigned
Dec 9, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4514-C NV Primary

Addresses

Primary practice location

1825 Pinion Rd
Elko, NV 89801-8318

Mailing address

4126 Technology Way
Suite 102
Carson City, NV 89706-2009
Phone (775) 687-7573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050520000205 NV Practitioner - Clinical Social Worker 3375584212 Practice locations: Elko, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1009 Silver St
Elko, NV 89801-3936
Phone (775) 340-1379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4514-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ruby Mountain Recovery PastSince Nov 15, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023178399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 TECHNOLOGY WAY",
            "address_2": "SUITE 102",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062009",
            "telephone_number": "775-687-7573",
            "fax_number": "775-687-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 PINION RD",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018318",
            "telephone_number": "775-738-8021",
            "fax_number": "775-738-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLKMANN",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "4514-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

Verify at the official NPI Registry.