Individual provider Active NPI

Kristy Damian Jaramillo, LMSW, CSW-I

  • Social Worker
  • Reno, NV
National Provider Identifier
1326766320
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10057-M Issued in NV
Practice address
690 Edison Way
Reno, NV 89502-4100
Phone
(775) 858-4571
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10057-M NV Primary

Addresses

Primary practice location

690 Edison Way
Reno, NV 89502-4100

Mailing address

530 Grand Canyon Blvd Apt 8
Reno, NV 89502-9306
Phone (775) 750-0344

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
I20250630002285 NV Practitioner - Clinical Social Worker 2860905296 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10057-MNVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nevada HIV Outpatient Program, Education and Services CurrentSince Apr 18, 2025 Accepting new patients
Northern Nevada HIV Outpatient Program, Education and Services CurrentSince Apr 18, 2025 Accepting new patients

Locations

580 W 5th St
Reno, NV 89503
Phone (775) 786-4673

1920 E 4th St
Reno, NV 89512
Phone (775) 786-4673

Organizations & group practices 2

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1326766320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 GRAND CANYON BLVD APT 8",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895029306",
            "telephone_number": "775-750-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 EDISON WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024100",
            "telephone_number": "775-858-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIAN JARAMILLO",
        "first_name": "KRISTY",
        "credential": "LMSW, CSW-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "10057-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.