Individual provider Active NPI

Stephanie Navidad-Marcos, CSW INTERN

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1356983365
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-1414 Issued in NV
Practice address
180 Country Estates Cir
Reno, NV 89511-4013
Phone
(775) 870-5027
Fax
(775) 507-4020
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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 IC-1414 NV Primary

Addresses

Primary practice location

180 Country Estates Cir
Reno, NV 89511-4013

Mailing address

180 Country Estates Cir
Reno, NV 89511-4013
Phone (775) 870-5027

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IC-1414NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True North Treatment Center LLC PastSince Oct 13, 2019 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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1356983365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 COUNTRY ESTATES CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114013",
            "telephone_number": "775-870-5027",
            "fax_number": "775-507-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 COUNTRY ESTATES CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114013",
            "telephone_number": "775-870-5027",
            "fax_number": "775-507-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVIDAD-MARCOS",
        "first_name": "STEPHANIE",
        "credential": "CSW INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-1414",
            "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 Oct 10, 2019; 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.