Riann Jeanine Giovacchini

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24024 Issued in CA

Practice address

1654 Ponca St
South Lake Tahoe, CA 96150-5907

Phone

(925) 487-8965

NPI assigned

Dec 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A Balanced Life: Individual, Family and Child Therapy, Inc

  • Mental Health Counselor
  • South Lake Tahoe, CA
  • NPI 1083153837
  NPD (past)

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1396216693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 PONCA ST",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961505907",
            "telephone_number": "925-487-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 PONCA ST",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961505907",
            "telephone_number": "925-487-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVACCHINI",
        "first_name": "RIANN",
        "middle_name": "JEANINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "24024",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genasci and Stigers Dental Corporation
• Lee Anne Stigers Genasci, D.M.D.
• Paul Robert Genasci, D.D.S.
• Kim George
• Sherellen B Gerhart, MD
• Elizabeth Anne Glass, LCSW
• Kathi Sue Glauner, MD
• Glenn C. Miller Chiropractic, Inc.
• Jessica Nicole Gonzalez
• Jose Benito Gonzalez

• Clinical Social Worker in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.