Individual provider Active NPI

Arianna Brooke Killebrew

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1053929463
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11764-C Issued in NV
Practice address
10395 Double R Blvd
Reno, NV 89521-5991
Phone
(775) 507-2606
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 11764-C NV Primary

Addresses

Primary practice location

10395 Double R Blvd
Reno, NV 89521-5991

Mailing address

12003 Rocky Mountain St
Reno, NV 89506-1557
Phone (775) 842-0126

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
I20260521001419 NV Practitioner - Clinical Social Worker 6305315185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Culpepper Psychiatric Associates PLLCGroup PAC ID 0244562536, 6 clinicians

Practice addresses (Care Compare)

10395 Double R Blvd
Reno, NV 89521-5991
Phone (775) 507-2606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11764-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Culpepper Psychiatric Associates PLLC CurrentSince May 6, 2026 Accepting new patients
Garrison, Wiskerchen & Coates, LTD CurrentSince Jan 4, 2026 Accepting new patients
Mountain Circle Family Services, Inc PastSince Mar 21, 2021 Accepting new patients
Vantage Point Therapy PLLC Clinical PastSince Jan 4, 2026 Accepting new patients

Locations

10395 Double R Blvd
Reno, NV 89521
Phone (775) 247-4902

975 Roberta Ln
Unit 104
Sparks, NV 89431
Phone (775) 525-1616

975 Roberta Ln
Ste 104
Sparks, NV 89431
Phone (775) 525-1616

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1053929463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12003 ROCKY MOUNTAIN ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895061557",
            "telephone_number": "775-842-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10395 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215991",
            "telephone_number": "775-507-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEBREW",
        "first_name": "ARIANNA",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11764-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.