Individual provider Active NPI

Jenna Willford, LCSW

  • Clinical Social Worker
  • Carson City, NV
National Provider Identifier
1447668306
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12197-C Issued in NV
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

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260403001612 NV Practitioner - Clinical Social Worker 4981189248 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
12197-CNVMDClinical 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

Verify at the official NPI Registry.