Individual provider Active NPI

Lauryn Avery

  • Clinical Social Worker
  • Sparks, NV
National Provider Identifier
1346659042
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11563-C Issued in NV
Practice address
895 Roberta LN
Suite 101
Sparks, NV 89431-6802
Phone
(775) 331-6252
Fax
(775) 331-6250
NPI assigned
Aug 6, 2014
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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 11563-C NV Primary

Addresses

Primary practice location

895 Roberta LN
Suite 101
Sparks, NV 89431-6802

Mailing address

601 W Moana LN Ste 9
Reno, NV 89509-4959
Phone (775) 433-2099

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
I20260320003032 NV Practitioner - Clinical Social Worker 6305320961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Behavioral HealthGroup PAC ID 2860738507, 3 clinicians

Practice addresses (Care Compare)

601 W Moana LN
Suite 9
Reno, NV 89509-4959
Phone (775) 433-2099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11563-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Behavioral Health CurrentSince Mar 5, 2026 Accepting new patients
No Child Left Behind Past Accepting new patients
No Child Left Behind Past Accepting new patients

Locations

601 W Moana Ln
Ste 9
Reno, NV 89509
Phone (775) 287-8270

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, 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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1346659042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W MOANA LN STE 9",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094959",
            "telephone_number": "775-433-2099",
            "fax_number": "775-433-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 ROBERTA LN",
            "address_2": "SUITE 101",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894316802",
            "telephone_number": "775-331-6252",
            "fax_number": "775-331-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "LAURYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11563-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.