Individual provider Active NPI

Mary Michelle Corso-Maina, LCSW

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1306399167
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7650-C Issued in NV
Practice address
7970 Mariner Cove Dr
Reno, NV 89506-4169
Phone
(775) 340-8947
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 083784-1 NY
Clinical Social Worker 1041C0700X 7650-C NV Primary

Addresses

Primary practice location

7970 Mariner Cove Dr
Reno, NV 89506-4169

Mailing address

7970 Mariner Cove Dr
Reno, NV 89506-4169

Other names 1

  • Mary Michelle Gilbert Former name

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
I20201104002747 NV Practitioner - Clinical Social Worker 8729498647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ideal Mental Health LLCGroup PAC ID 9931545845, 5 clinicians

Practice addresses (Care Compare)

5335 Reno Corporate Dr
Suite 200
Reno, NV 89511-2619
Phone (775) 622-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7650-CNVMDClinical Social Worker
083784-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Markendev CurrentSince Jul 28, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Ideal Mental Health LLC Clinical CurrentSince Mar 11, 2024 Accepting new patients

Locations

5335 Reno Corporate Dr
Ste 200
Reno, NV 89511
Phone (775) 622-7272

Interoperability endpoints

  • Direct secure messaging: marygilbert@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1306399167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7970 MARINER COVE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895064169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7970 MARINER COVE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895064169",
            "telephone_number": "775-340-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSO-MAINA",
        "first_name": "MARY",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083784-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7650-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GILBERT",
            "middle_name": "MICHELLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.