Individual provider Active NPI

Rachel Lorraine Blinn, MSW, CSW-INTERN

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1356823488
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9191-C Issued in NV
Practice address
11450 Verazae Dr
Reno, NV 89521-3154
Phone
(775) 686-0117
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 9191-C NV Primary

Addresses

Primary practice location

11450 Verazae Dr
Reno, NV 89521-3154

Mailing address

11450 Verazae Dr
Reno, NV 89521-3154
Phone (775) 338-8436

Other practice location 1

860 Tyler Way
Sparks, NV 89431-2172
Phone (775) 287-8270

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9191-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Behavioral Health Center Clinical PastSince Dec 9, 2017 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1356823488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11450 VERAZAE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213154",
            "telephone_number": "775-338-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11450 VERAZAE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213154",
            "telephone_number": "775-686-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Tyler Way",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894312172",
            "country_code": "US",
            "telephone_number": "775-287-8270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLINN",
        "first_name": "RACHEL",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "MSW, CSW-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9191-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 Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.