Active NPI
Elizabeth Palumbo Urciuoli
- Clinical Social Worker
- Reno, NV
National Provider Identifier
1194553867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11959-C
- Practice address
- 3732 Lakeside Dr
Reno, NV 89509-5278 - Phone
- (320) 905-4345
- NPI assigned
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05024500 | NJ | |
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 11959-C | NV | Primary |
Addresses
Primary practice location
3732 Lakeside Dr
Reno, NV 89509-5278
Mailing address
3732 Lakeside Dr Ste 200
Reno, NV 89509-4519
Phone (320) 905-4345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05024500 | NJ | MD | Social Worker |
| 11959-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| As the Sun | Past | 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": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1194553867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3732 LAKESIDE DR STE 200",
"city": "RENO",
"state": "NV",
"postal_code": "895094519",
"telephone_number": "320-905-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3732 LAKESIDE DR",
"city": "RENO",
"state": "NV",
"postal_code": "895095278",
"telephone_number": "320-905-4345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URCIUOLI",
"first_name": "ELIZABETH",
"middle_name": "PALUMBO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-24",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05024500",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "11959-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.