Individual provider Active NPI

Melanie G Sommers-Dain, LCSW

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1225472111
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1849C Issued in NV
Practice address
15445 Willow Brook Dr
Reno, NV 89511-9041
Phone
(775) 786-8288
Fax
(775) 786-0970
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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 1849C NV Primary

Addresses

Primary practice location

15445 Willow Brook Dr
Reno, NV 89511-9041

Mailing address

PO Box 11705
Reno, NV 89510-1705
Phone (775) 786-8288

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
I20241125000842 NV Practitioner - Clinical Social Worker 3870028012 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1849CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Regional Healthcare CurrentSince Sep 17, 2024 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Sep 17, 2024 Accepting new patients
CTH Physicians Clinic Current Accepting new patients
Carson Tahoe Physician Clinics CurrentSince Sep 17, 2024 Accepting new patients

Locations

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1225472111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11705",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895101705",
            "telephone_number": "775-786-8288",
            "fax_number": "775-786-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15445 WILLOW BROOK DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895119041",
            "telephone_number": "775-786-8288",
            "fax_number": "775-786-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERS-DAIN",
        "first_name": "MELANIE",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "1849C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.