Active NPI
Jenna Willford, LCSW
- Clinical Social Worker
- Carson City, NV
National Provider Identifier
1447668306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12197-C
- Practice address
- 205 S Pratt Ave
Carson City, NV 89701-4730 - Phone
- (775) 882-3945
- NPI assigned
- Jul 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12197-C | NV | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
205 S Pratt Ave
Carson City, NV 89701-4730
Mailing address
1404 Aldersgate CT
Gardnerville, NV 89410-5822
Phone (530) 545-9502
Other practice location 1
1404 Aldersgate Ct
Gardnerville, NV 89410-5822
Phone (775) 241-3756
Other practice location 2
1650 US Highway 395 N # 300
Minden, NV 89423-4324
Phone (775) 241-3756 ext. 13756
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Dallas, TX 75373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12197-C | NV | MD | Clinical Social Worker |
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": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1447668306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 ALDERSGATE CT",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894105822",
"telephone_number": "530-545-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S PRATT AVE",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897014730",
"telephone_number": "775-882-3945"
}
],
"practiceLocations": [
{
"address_1": "1404 Aldersgate Ct",
"address_purpose": "LOCATION",
"city": "Gardnerville",
"state": "NV",
"postal_code": "894105822",
"country_code": "US",
"telephone_number": "775-241-3756",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1650 US Highway 395 N # 300",
"address_purpose": "LOCATION",
"city": "Minden",
"state": "NV",
"postal_code": "894234324",
"country_code": "US",
"telephone_number": "775-241-3756 x13756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLFORD",
"first_name": "JENNA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "12197-C",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.